Provider Demographics
NPI:1013592385
Name:FOX, AMANDA HOPE (LMHCA)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:HOPE
Last Name:FOX
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18325 108TH AVE NE APT 6
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-3239
Mailing Address - Country:US
Mailing Address - Phone:425-215-2850
Mailing Address - Fax:
Practice Address - Street 1:18325 108TH AVE NE APT 6
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-3239
Practice Address - Country:US
Practice Address - Phone:425-215-2850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMHCA.MC.61099459101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health