Organization
DELETE ORGANIZATION NPI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD WILLIAM FOX LMHC, CAP (THERAPIST/SUPERVISOR)
(772) 873-8811
Entity
Organization
Contact information
Practice address
1551 FORUM PL, WEST PALM BEACH, FL 33401-2319
(561) 712-8821
(561) 217-8070
Mailing address
1062 SW PAYNE AVE, PORT ST LUCIE, FL 34953-3472
(772) 249-5878
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/27/2012
Last updated
04/03/2012
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