Provider Demographics
NPI:1952605669
Name:FOGG, ANNE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:
Last Name:FOGG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27320 E OTTAWA DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-7512
Mailing Address - Country:US
Mailing Address - Phone:720-477-1331
Mailing Address - Fax:
Practice Address - Street 1:27320 E OTTAWA DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-7512
Practice Address - Country:US
Practice Address - Phone:207-477-1331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-10
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0012851101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health