Individual
JAMES WAYNE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BAS, T-LAC, PCCM,
Contact information
Practice address
4015 SE 21 ST, TOPEKA, KS 66604
(785) 266-0202
(786) 267-3439
Mailing address
4015 SW 21ST ST, TOPEKA, KS 66604-3412
(785) 266-0202
(785) 267-3439
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-LAC 1361
KS
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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