Doctor Name: | KRISTINE FOX |
NPI Number: | 1063703999 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 26808 |
Business Practice Address: | 10537 S Roberts Rd Palos Hills, IL - 604651933 |
Business Phone Number: | 7089745109 |
Business Fax Number: | |
Mailing Address: | 10537 S Roberts Rd, PALOS HILLS |
State: | IL |
Postal Code: | 604651933 |
Phone Number: | 7089745109 |
Fax Number: | |
NPI Enumeration Date: | 04/26/2011 |
NPI Last Update Date: | 05/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 26808 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |