Individual
MR. SAMUEL THOMAS FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSUDC
Contact information
Practice address
7601 S REDWOOD RD, WEST JORDAN, UT 84084-4007
(801) 233-8670
Mailing address
7601 S REDWOOD RD, WEST JORDAN, UT 84084-4007
(801) 233-8670
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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