Provider Demographics
NPI:1033485370
Name:THORINGTON-FOX, KENDRA MICHELLE (LPC)
Entity Type:Individual
Prefix:MS
First Name:KENDRA
Middle Name:MICHELLE
Last Name:THORINGTON-FOX
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14200 W 8 MILE RD UNIT 47526
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-7765
Mailing Address - Country:US
Mailing Address - Phone:248-629-9169
Mailing Address - Fax:248-250-5392
Practice Address - Street 1:24500 FORD RD STE 3
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-3145
Practice Address - Country:US
Practice Address - Phone:248-629-9169
Practice Address - Fax:248-250-5392
Is Sole Proprietor?:No
Enumeration Date:2012-03-30
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
MI6401011827101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)