Healthcare Provider Details

I. General information

NPI: 1104758465
Provider Name (Legal Business Name): KRISTIN CAROLINE COX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAYE COX

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 32ND AVE
SAN FRANCISCO CA
94121-2733
US

IV. Provider business mailing address

600 32ND AVE
SAN FRANCISCO CA
94121-2733
US

V. Phone/Fax

Practice location:
  • Phone: 628-900-2402
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPCC14474
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: