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Individual

ALEXANDRA FOX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
1420 N LAKE SHORE DR APT 12A, CHICAGO, IL 60610-6690
(312) 972-3666
Mailing address
1420 N LAKE SHORE DR APT 12A, CHICAGO, IL 60610-6690
(312) 972-3666

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180007685
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1396034724
ORGANIZATION NPI
IL
Enumeration date
03/04/2011
Last updated
07/16/2024
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