Doctor Name: | SANDRA COX |
NPI Number: | 1861805194 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M. ED., NCC |
License Number: | |
Business Practice Address: | 1831 Mudfork Rd. Verdunville, WV - 25649 |
Business Phone Number: | 3047528972 |
Business Fax Number: | 3047528977 |
Mailing Address: | 21350 W 153rd St, OLATHE |
State: | KS |
Postal Code: | 660615413 |
Phone Number: | 9133224900 |
Fax Number: | 9137801284 |
NPI Enumeration Date: | 06/04/2014 |
NPI Last Update Date: | 06/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |