Healthcare Provider Details

I. General information

NPI: 1396222972
Provider Name (Legal Business Name): CARRIE FOX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2018
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 W BELL ST STE B2
SEQUIM WA
98382-2916
US

IV. Provider business mailing address

2206 TOLMIE AVE
DUPONT WA
98327-9771
US

V. Phone/Fax

Practice location:
  • Phone: 360-207-4345
  • Fax:
Mailing address:
  • Phone: 541-510-9242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: