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Individual
MR. ROBERT FOX
Active
Individual
MR. ROBERT FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, LADC I, CEAP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2135
MA
101YM0800X
Mental Health Counselor
Primary
5333
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135
LICENSED ALCOHOL AND DRUG
MA
01
—
5333
LMHC LICENSE NUMBER
MA
01
—
LM1123
BLUE CROSS-BLUE SHIELD ID
MA
Enumeration date
01/24/2007
Last updated
09/11/2023
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