Individual
PAUL MICHAEL FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2711 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 726-9300
Mailing address
2711 COLONIAL DR, COLUMBIA, SC 29203-6818
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
7576
SC
Other
Enumeration date
10/01/2018
Last updated
07/23/2021
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