Individual
COLLEEN M FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MPH, PHD, CSAC
Contact information
Practice address
45-845 POOKELA ST, KANEOHE, HI 96744-5700
(808) 447-5259
Mailing address
45-845 POOKELA ST, KANEOHE, HI 96744-5700
(808) 447-5259
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
979-99
HI
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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