Fox Professional Counseling Llc | |
166 Center St Ste 203a Cape Canaveral FL 32920-3743 | |
(321) 432-6080 | |
Not Available |
Full Name | Fox Professional Counseling Llc |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 166 Center St Ste 203a, Cape Canaveral, Florida |
Authorized Official Name and Position | John W Fox (OWNER) |
Authorized Official Contact | 3214326082 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fox Professional Counseling Llc 7970 Evelyn Ct Cape Canaveral FL 32920-5130 Ph: (321) 432-6080 | Fox Professional Counseling Llc 166 Center St Ste 203a Cape Canaveral FL 32920-3743 Ph: (321) 432-6080 |
NPI Number | 1679199376 |
---|---|
Provider Enumeration Date | 06/19/2020 |
Last Update Date | 06/19/2020 |
Certification Date | 06/19/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679199376 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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Space Coast Counseling Center, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 166 Center St Ste 239, Cape Canaveral, FL 32920 Phone: 321-267-2288 Fax: 866-703-0035 |