Healthcare Provider Details

I. General information

NPI: 1063757581
Provider Name (Legal Business Name): RONALD PAUL COX M.A., LPC, LCAS, SAP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2012
Last Update Date: 08/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 COLLEGE ST
CLINTON NC
28328-3503
US

IV. Provider business mailing address

140 SHARE CAKE RD
CLINTON NC
28328-7876
US

V. Phone/Fax

Practice location:
  • Phone: 910-592-4507
  • Fax: 910-592-4494
Mailing address:
  • Phone: 910-990-9204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8571
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number2548
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: