Healthcare Provider Details

I. General information

NPI: 1982780219
Provider Name (Legal Business Name): PATRICK K COX LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2006
Last Update Date: 01/09/2024
Certification Date: 01/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4205 N 900 W
PLEASANT VIEW UT
84414-1011
US

IV. Provider business mailing address

237 26TH STREET
OGDEN UT
84401-3105
US

V. Phone/Fax

Practice location:
  • Phone: 801-745-5578
  • Fax:
Mailing address:
  • Phone: 801-625-3605
  • Fax: 801-625-3615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number500938-6004
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: