Individual provider · Type 1 NPI

Matthew Fox, CCJP

Addiction (Substance Use Disorder) Counselor · Harrisburg, PA

NPI number 1003210634 Active

Practice location

99 S Cameron St
Harrisburg, PA 17101-2809

Call (717) 233-7290 Map

Fax (717) 233-5334

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCCJP (PA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003210634

Matthew Fox, CCJP's National Provider Identifier is 1003210634, issued on Oct 10, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Harrisburg, PA. The record was last updated on Oct 10, 2014.