Individual provider · Type 1 NPI

Stephanie Crystal Jenee Fox, CO 60693822

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1174053854 Active

Practice location

1231 NE 73rd Ave
Portland, OR 97213-6110

Call (503) 467-1449 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO60693822 (WA)

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

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About NPI 1174053854

Stephanie Crystal Jenee Fox, CO 60693822's National Provider Identifier is 1174053854, issued on Jun 15, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Jul 21, 2022.