John Moore Fogarty
John Moore Fogarty is an Addiction (Substance Use Disorder) Counselor in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
125 E 13th St Unit 911Chicago, IL 60605-2675
Phone: (440) 391-3995
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1316603632 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 10, 2021 |
| Last updated in NPPES | November 10, 2021 |
| Certification date | November 10, 2021 |
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