Provider Demographics
NPI:1821088808
Name:FOXALL, ROGER E (LPC)
Entity Type:Individual
Prefix:DR
First Name:ROGER
Middle Name:E
Last Name:FOXALL
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 1:33114 FOREST WEST ST
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-6844
Mailing Address - Country:US
Mailing Address - Phone:281-367-3740
Mailing Address - Fax:
Practice Address - Street 1:33114 FOREST WEST ST
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-6844
Practice Address - Country:US
Practice Address - Phone:281-367-3740
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13484101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional