Most Relevant Information
Provider Data
| NPI Number: | 1003210634 |
| Provider Name: | MATTHEW FOX CCJP |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | CCJP |
Most Important Dates
| Enumeration Date: | 10/10/2014 |
| Last Updated: | 10/10/2014 |
Provider Practice Location
99 S CAMERON ST
HARRISBURG
PA
171012809
Practice Location Phone/Fax
| Phone: | 7172337290 |
| Fax: | 7172335334 |
Provider Mailing Location
99 S CAMERON ST
HARRISBURG
PA
171012809
Provider Mailing Phone/Fax
| Phone: | 7172337290 |
| Fax: | 7172335334 |