Provider Demographics
NPI:1659962934
Name:FOOSE, DENNIS (LPC)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:FOOSE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5109 FAIRGLEN DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4926
Mailing Address - Country:US
Mailing Address - Phone:972-742-1214
Mailing Address - Fax:
Practice Address - Street 1:5109 FAIRGLEN DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4926
Practice Address - Country:US
Practice Address - Phone:972-742-1214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13773101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional