Individual
MS. REGINA RAE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CSAC
Contact information
Practice address
533 PEACE PIPE ROAD, LAC DU FLAMBEAU, WI 54538-0189
(715) 588-1511
(715) 588-3903
Mailing address
300 MAIN ST W, ASHLAND, WI 54806-1639
(715) 685-2200
(715) 685-1185
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15988
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
16333-132
WI
101YP2500X
Professional Counselor
Primary
10655-125
WI
101YP2500X
Professional Counselor
5036-226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013420322
—
WI
Enumeration date
11/08/2017
Last updated
10/02/2023
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