Individual
SAMANTHA FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
7459 BURLINGTON PIKE, FLORENCE, KY 41042-1553
(859) 331-3292
(859) 578-2864
Mailing address
503 FARRELL DR, COVINGTON, KY 41011-3775
(859) 331-3292
(859) 578-2864
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
174183
KY
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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