Provider Demographics
NPI:1659772655
Name:FOX, NATASHA M (LPC)
Entity Type:Individual
Prefix:MRS
First Name:NATASHA
Middle Name:M
Last Name:FOX
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:NATASHA
Other - Middle Name:M
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:638 FERNDALE AVE
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15905-3946
Mailing Address - Country:US
Mailing Address - Phone:814-288-4961
Mailing Address - Fax:814-288-3904
Practice Address - Street 1:638 FERNDALE AVE
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15905-3946
Practice Address - Country:US
Practice Address - Phone:814-288-4961
Practice Address - Fax:814-288-3904
Is Sole Proprietor?:No
Enumeration Date:2014-09-09
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC012500101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional