Provider Demographics
NPI:1497712020
Name:FOX, PATRICIA C (EDD LPCMH LFMT)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:C
Last Name:FOX
Suffix:
Gender:F
Credentials:EDD LPCMH LFMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 W HAVENS ST
Mailing Address - Street 2:DAKOTA COUNSELING INSTITUTE
Mailing Address - City:MITCHELL
Mailing Address - State:SD
Mailing Address - Zip Code:57301
Mailing Address - Country:US
Mailing Address - Phone:605-996-9686
Mailing Address - Fax:605-996-1624
Practice Address - Street 1:910 W HAVENS ST
Practice Address - Street 2:DAKOTA COUNSELING INSTITUTE
Practice Address - City:MITCHELL
Practice Address - State:SD
Practice Address - Zip Code:57301
Practice Address - Country:US
Practice Address - Phone:605-996-9686
Practice Address - Fax:605-996-1624
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDMH8016101YM0800X
SDLFMT1024106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD4996233OtherWELLMARK BCBS
SD9638OtherAVERA HEALTH
SD28878OtherSIOUX VALLEY HEALTH
SD9222352OtherDAKOTACARE