Provider Demographics
NPI:1295387744
Name:FOX, CASSANDRA ANN (LPCC)
Entity Type:Individual
Prefix:MS
First Name:CASSANDRA
Middle Name:ANN
Last Name:FOX
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17366 DOVEHILL DR
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-0218
Mailing Address - Country:US
Mailing Address - Phone:562-320-1246
Mailing Address - Fax:
Practice Address - Street 1:20202 APTOS ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92508-3084
Practice Address - Country:US
Practice Address - Phone:951-358-6720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-15
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAPCC6187101YM0800X
CA14486101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health