Individual
MR. SAMUEL PATRICK FOGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., L.P.C.
Contact information
Practice address
1219 E SOUTH 11TH ST, SUITE A, ABILENE, TX 79602-4283
(325) 676-2039
(325) 480-4784
Mailing address
1219 E SOUTH 11TH ST, SUITE A, ABILENE, TX 79602-4283
(325) 676-2039
(325) 480-4784
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
16245
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16245
TX
101YM0800X
Mental Health Counselor
16245
TX
101YP2500X
Professional Counselor
16245
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7252LC
BLUE CROSS & BLUE SHIELD
TX
Enumeration date
03/02/2006
Last updated
09/11/2025
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