Individual provider · Type 1 NPI

Jeremy Gaither Fox, LCMHC

Mental Health Counselor · Winston Salem, NC

NPI number 1376935346 Active

Practice location

1010 Bethesda Ct
Winston Salem, NC 27103-3019

Fax (336) 277-6001

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 403 S Hawthorne Rd, Winston Salem, NC 27103 · (336) 716-0800

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XA11357 (NC)
Professional Counselor 101YP2500X11357 (NC)
Mental Health Counselor Primary 101YM0800X11357 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1376935346

Jeremy Gaither Fox, LCMHC's National Provider Identifier is 1376935346, issued on Feb 26, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Winston Salem, NC. The record was last updated on Apr 22, 2024.