Doctor Name: | MR. DENNIS ANDERSON FOX |
NPI Number: | 1104032796 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCPC |
License Number: | |
Business Practice Address: | 50 Northgate Industrial Dr Granite City, IL - 620406805 |
Business Phone Number: | 6188774420 |
Business Fax Number: | |
Mailing Address: | 531 Coventry Rd, TROY |
State: | IL |
Postal Code: | 622941743 |
Phone Number: | 6186675916 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |