Individual
JONATHAN FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
11211 SE 82ND AVE, SUITE O, HAPPY VALLEY, OR 97086-7624
(503) 722-6200
(503) 722-6545
Mailing address
11211 SE 82ND AVE, SUITE O, HAPPY VALLEY, OR 97086-7624
(503) 722-6200
(503) 722-6545
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C4442
OR
Other
Enumeration date
03/06/2008
Last updated
10/30/2017
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