Individual
MATTHEW FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCJP
Contact information
Practice address
99 S CAMERON ST, HARRISBURG, PA 17101-2809
(717) 233-7290
(717) 233-5334
Mailing address
99 S CAMERON ST, HARRISBURG, PA 17101-2809
(717) 233-7290
(717) 233-5334
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CCJP
PA
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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