Individual
ASHLY RENEE FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC-1, C-IAYT
Contact information
Practice address
1400 REYNOLDS AVE STE 102, IRVINE, CA 92614-5562
(949) 393-2240
Mailing address
721 VIA OTONO, SAN CLEMENTE, CA 92672-6020
(949) 310-3722
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
171400000X
Health & Wellness Coach
Primary
—
CA
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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