Susan Richelle Fox, LMSW

NPI #1548911209 in Rexburg, Idaho

Provider Information

NPI Number: 1548911209
Entity Type: Individual
Name: Susan Richelle Fox, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LMSW
Enumeration Date: Jan 14, 2022
Last Updated: Jan 14, 2022

Practice Location

Address: 101 E MAIN ST STE 210
City: Rexburg
State: Idaho
ZIP Code: 83440-2017
Phone: (208) 357-3104

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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