Individual
ISAIAH FOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2570 106TH ST STE E, URBANDALE, IA 50322-3742
(515) 446-7284
Mailing address
2570 106TH ST STE E, URBANDALE, IA 50322-3742
(515) 446-7284
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101402
IA
Other
Enumeration date
07/17/2020
Last updated
09/27/2023
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