NPI 1003210634

Matthew Fox, CCJP

Practitioner Addiction (Substance Use Disorder) Counselor Harrisburg, PA

Practice location

Address: 99 S Cameron St, Harrisburg, PA 17101-2809
Phone: (717) 233-7290
Fax: (717) 233-5334

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence CCJP (PA)

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Registry record

NPI: 1003210634
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2014
Record last updated: 10 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.