Doctor Name: | THOMAS J. FOX |
NPI Number: | 1104958453 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.ED., LPC |
License Number: | 000296 |
Business Practice Address: | 4390 Lindell Blvd St. Louis, MO - 631082248 |
Business Phone Number: | 3147212252 |
Business Fax Number: | |
Mailing Address: | 4361 Laclede Ave, ST. LOUIS |
State: | MO |
Postal Code: | 631082248 |
Phone Number: | 3145333567 |
Fax Number: | |
NPI Enumeration Date: | 03/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 000296 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |