Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 4057 | NC |
NPI | 1003884644 |
---|---|
Provider Name | Mr. Robert M Cox |
First Address | Boone, NC 28607-5915 |
Second Address | Boone, NC 28607-5915 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1344V | BCBS OF NC (01) | NC |
2075913 | CIGNA BEHAVIORAL HEALTH (01) | NC |
6102766 | (05) | NC |
C8362 | MEDCOST (01) | NC |