Individual
DR. JERIMYA MATTHEW FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4621 N 1ST AVE STE 7, TUCSON, AZ 85718-5654
(520) 975-7946
Mailing address
8559 N GAETANO LOOP, TUCSON, AZ 85742-8500
(520) 975-7946
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-16463
AZ
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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