Provider Demographics
NPI:1356532766
Name:DIANA FOX COUNSELING SERVICES
Entity type:Organization
Organization Name:DIANA FOX COUNSELING SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:MS,LCPC,CADC
Authorized Official - Phone:630-688-2169
Mailing Address - Street 1:251 N CATALPA ST
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:IL
Mailing Address - Zip Code:60101-2987
Mailing Address - Country:US
Mailing Address - Phone:630-688-2169
Mailing Address - Fax:
Practice Address - Street 1:1550 SPRING RD
Practice Address - Street 2:THE SPECTRUM CENTER, SUITE 215
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1320
Practice Address - Country:US
Practice Address - Phone:630-688-2169
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL14712OtherCADC