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NPI Code Detail

MEDICARE: JENNA-C H COX

MEDICARE: JENNA-C H COX
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorT-24-4258OR

General Provider Information

NPI Number : 1679424170
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA-C H COX
Provider Business Mailing Address
First Line : 3949 S 6TH ST STE A202
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97603-4792
Country : US
Telephone Number : 541-880-7841
Fax Number : 541-851-3983
Provider Business Practice Location Address
First Line : 6000 NEW WAY
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-9382
Country : US
Telephone Number : 540-880-7841
Fax Number : 541-851-3983
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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Directions to “ JENNA-C H COX ” Practice Location

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