Individual
STEVEN FOGELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
611 SISKIYOU BLVD, SUITE 8, ASHLAND, OR 97520-2151
(541) 482-1718
(541) 482-0964
Mailing address
611 SISKIYOU BLVD, SUITE 8, ASHLAND, OR 97520-2151
(541) 482-1718
(541) 482-0964
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C1302
OR
101YM0800X
Mental Health Counselor
C1302
OR
Other
Enumeration date
08/08/2008
Last updated
04/04/2013
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