Organization
FOX PROFESSIONAL COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN W FOX JR. LMHC (OWNER)
(321) 432-6082
Entity
Organization
Contact information
Practice address
166 CENTER ST STE 203A, CAPE CANAVERAL, FL 32920-3743
(321) 432-6080
Mailing address
7970 EVELYN CT, CAPE CANAVERAL, FL 32920-5130
(321) 432-6080
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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