Individual provider · Type 1 NPI
Jerimya Matthew Fox, LPC
Professional Counselor · Tucson, AZ
NPI number
1639664113
Active
Practice location
4621 N 1st Ave Ste 7
Tucson, AZ 85718-5654
Mailing address
8559 N Gaetano Loop
Tucson, AZ 85742-8500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-16463 (AZ) |
Professional Counselor: Definition to come...
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About NPI 1639664113
Jerimya Matthew Fox, LPC's National Provider Identifier is 1639664113, issued on Jun 26, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tucson, AZ. The record was last updated on Jun 26, 2018.