Provider Demographics
NPI:1447867759
Name:FOX, VERONICA MARY (MS, LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:MARY
Last Name:FOX
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:MARY
Other - Last Name:FROST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:N79W12855 FOND DU LAC AVENUE
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-4409
Mailing Address - Country:US
Mailing Address - Phone:414-698-5971
Mailing Address - Fax:
Practice Address - Street 1:N79W12855 FOND DU LAC AVENUE
Practice Address - Street 2:
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051-4409
Practice Address - Country:US
Practice Address - Phone:414-698-5971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7562-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health