Individual
DOUGLAS STEWART FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3305 VICTORIA CT, JOHNSON CITY, TN 37604-2201
(423) 502-4158
Mailing address
3305 VICTORIA CT, JOHNSON CITY, TN 37604-2201
(423) 502-4158
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2427
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407096746
—
VA
Enumeration date
02/26/2009
Last updated
01/19/2024
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