Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Chasidy Colleen Summer Fogg, MALLPLPC

Individual provider Professional Counselor · NPI 1831214485

Miss. Chasidy Colleen Summer Fogg, MALLPLPC is a Professional Counselor in Leslie, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2007
Specialties on file
2

Practice location Address checks out

4287 Race Rd
Leslie, MI 49251-9446
Phone: (517) 712-7204
Fax: (517) 796-4561
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 6301013308 (MI)
Professional Counselor Taxonomy 101YP2500X · Licence 6401010112 (MI)

Record details

NPI number1831214485
Entity typeIndividual (Type 1)
GenderFemale
Credentials MALLPLPC
Sole proprietorYes
NPI enumeratedMarch 20, 2007
Last updated in NPPESDecember 20, 2016