Individual
DAREN DENZEL FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, TLLP
Contact information
Practice address
1225 S 11TH ST, NILES, MI 49120-3408
(269) 684-7741
Mailing address
1225 S 11TH ST, NILES, MI 49120-3408
(313) 740-5377
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
630101707
MI
Other
Enumeration date
09/14/2018
Last updated
09/20/2018
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