Individual
CISSY FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
131 NAHM ST STE 9, PADUCAH, KY 42001-4362
(270) 625-5055
Mailing address
140 CLIFTON CV, PADUCAH, KY 42001-8923
(931) 309-7615
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
298855
KY
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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