Individual
MRS. LISA MICHELLE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 VISTA CENTRE DR STE 18, FOREST, VA 24551-2785
(434) 316-9339
Mailing address
220 MCCONVILLE RD APT 99, LYNCHBURG, VA 24502-4548
(717) 713-7898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701013084
VA
101YP2500X
Professional Counselor
0701013084
VA
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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