Provider Demographics
NPI:1669011763
Name:FOX, KELSEY (LMFT)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:FOX
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:731 N ST
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99501-3226
Mailing Address - Country:US
Mailing Address - Phone:907-318-5959
Mailing Address - Fax:877-778-8198
Practice Address - Street 1:731 N ST
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-3226
Practice Address - Country:US
Practice Address - Phone:907-318-5959
Practice Address - Fax:877-778-8198
Is Sole Proprietor?:No
Enumeration Date:2020-01-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK152751106H00000X
AK188253106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist