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General NPI Number Information
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NPI Number | 1447857040
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Entity Type | Organization
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Legal Business Name | MARY COX, LMFT
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Dates
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Enumeration Date | 10/06/2020
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Last Update Date | 02/02/2021
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Provider Practice Location Address
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Address Line | 13800 HEACOCK ST STE 230A
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City | MORENO VALLEY
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State | CA
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Zip | 92553-8824
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Country | US
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Telephone | 951-472-2070
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Fax | 951-472-2071
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Provider Business Mailing Address
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Address Line | 15858 SULPHUR SPRINGS RD
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City | MORENO VALLEY
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State | CA
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Zip | 92555-9104
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Country | US
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Telephone | 951-413-4534
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Fax |
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Authorized Official
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Title or Position | LMFT
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Name | MARY COX
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Credential |
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Telephone | 951-472-2070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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