Provider Demographics
NPI:1740763937
Name:FOX, ANGELA MARIE (CADACIV, ICAADC)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARIE
Last Name:FOX
Suffix:
Gender:F
Credentials:CADACIV, ICAADC
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:MARIE
Other - Last Name:MCALLISTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CADACIV, ICAADC
Mailing Address - Street 1:18051 RIVER RD STE 101
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46062-7093
Mailing Address - Country:US
Mailing Address - Phone:317-674-0062
Mailing Address - Fax:
Practice Address - Street 1:706 GREEN BLVD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IN
Practice Address - Zip Code:47001-1506
Practice Address - Country:US
Practice Address - Phone:812-584-3615
Practice Address - Fax:812-720-3907
Is Sole Proprietor?:No
Enumeration Date:2018-09-13
Last Update Date:2025-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN87001626A101YA0400X
OHLICDC.161465101YA0400X
KY277277101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)