Individual
MS. DENISE ELLEN FOGELSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4250 E FLORIAN AVE, BUILDING 1, MESA, AZ 85206
(480) 844-1653
(480) 539-4947
Mailing address
2232 E NISBET RD, PHOENIX, AZ 85022-4040
(602) 788-2589
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-1484
AZ
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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