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General NPI Number Information
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NPI Number | 1073381554
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Entity Type | Individual
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Provider Name | MICHELLE FOX LPC
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Gender | Female
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Dates
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Enumeration Date | 12/14/2023
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 2112 WINDSONG LN
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City | TIMMONSVILLE
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State | SC
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Zip | 29161-8725
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Country | US
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Telephone | 843-593-5470
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Fax | 866-280-0260
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Provider Business Mailing Address
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Address Line | 2112 WINDSONG LN
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City | TIMMONSVILLE
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State | SC
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Zip | 29161-8725
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Country | US
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Telephone | 435-935-4708
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 10685
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License Number State | SC
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