Individual
MICHELLE FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1655 W MEQUON RD, MEQUON, WI 53092-3254
(262) 240-9744
(262) 240-9745
Mailing address
N82W18281 WILLIAMSBURG CT, MENOMONEE FALLS, WI 53051-3525
(262) 825-8906
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5284-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346781671
—
WI
Enumeration date
03/20/2017
Last updated
07/11/2022
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