Doctor Name: | MR. CHRISTOPHER COX |
NPI Number: | 1265588073 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCS 25117 |
License Number: | LCS 25117 |
Business Practice Address: | 170 Russell Ave Ste D Susanville, CA - 961304271 |
Business Phone Number: | 5302578420 |
Business Fax Number: | |
Mailing Address: | 170 Russell Ave Ste D, SUSANVILLE |
State: | CA |
Postal Code: | 961304271 |
Phone Number: | 5302578420 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 03/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LCS 25117 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |