Individual
ALISON NICOLE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LPC
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804
(417) 761-5000
(417) 761-5011
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2018028528
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1430829
CAQH
MO
Enumeration date
08/03/2018
Last updated
03/12/2019
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