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Individual
KIMBERLY RENEE FOX
Active
Individual
KIMBERLY RENEE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
63975
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212015601
—
TX
01
—
89721L
BCBS
TX
05
—
PENDCSHCN
—
TX
05
—
PENDING
—
TX
Enumeration date
06/08/2010
Last updated
03/08/2019
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