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NPI Code Detail

MEDICARE: BRANDIE CHANEL COX MFT TRAINEE

MEDICARE: BRANDIE CHANEL COX MFT TRAINEE
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
1106H00000XMarriage & Family TherapistCA
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1073080636
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDIE CHANEL COX MFT TRAINEE
Provider Business Mailing Address
First Line : 3128 NIKLAUS PATH
Second Line :
City : REDDING
State : CA
Zip : 96002-9550
Country : US
Telephone Number : 530-328-4234
Fax Number :
Provider Business Practice Location Address
First Line : 3648 EL PORTAL DR
Second Line :
City : REDDING
State : CA
Zip : 96002-3133
Country : US
Telephone Number : 530-722-1114
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2018
Last Update Date : 10/31/2025

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Directions to “ BRANDIE CHANEL COX MFT TRAINEE” Practice Location

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