Individual
CHERYL FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
560 N ARROWHEAD AVE STE 1B, SAN BERNARDINO, CA 92401-1219
(800) 256-3480
Mailing address
560 N ARROWHEAD AVE STE 1B, SAN BERNARDINO, CA 92401-1219
(800) 256-3480
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
351225
CA
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
351225
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
03/18/2016
Last updated
02/14/2019
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