Colleen M Fox, MA, MPH, PHD, CSAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Kaneohe, HI
NPI 1083170484 · NPPES record last updated Feb 11, 2019
Key facts
- NPI
- 1083170484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 979-99 (HI)
- Practice address
- 45-845 Pookela St
Kaneohe, HI 96744-5700 - Phone
- (808) 447-5259
- NPI assigned
- Feb 11, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 979-99 | HI | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 979-99 | HI | Yes |
Addresses
Primary practice location
45-845 Pookela St
Kaneohe, HI 96744-5700
Mailing address
45-845 Pookela St
Kaneohe, HI 96744-5700
Phone (808) 447-5259
Other providers in Kaneohe, HI
- Jennifer Frances Finn
- Robert Stephen Fishman
- Fleurish and Grow
- Sergio G Florian
- Ted R Fontanilla
- Charlotte Ann Freeman
- Fresenius Medical Care Oahu LLC
- Francesca M. Freund
- Douglas Frisbie
- Kevin Lee Fujimoto
All providers in Kaneohe, HI · Addiction (Substance Use Disorder) Counselor in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.