MEDICARE: KAREN COX COUNSELING INC

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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1619651148
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAREN COX COUNSELING INC

Provider Business Mailing Address
First Line	:	PO BOX 1114
Second Line	:
City	:	ALBANY
State	:	OR
Zip	:	97321-0534
Country	:	US
Telephone Number	:	503-507-1041
Fax Number	:

Provider Business Practice Location Address
First Line	:	1106 S COMMERCIAL WAY SE
Second Line	:
City	:	ALBANY
State	:	OR
Zip	:	97322-7034
Country	:	US
Telephone Number	:	503-507-1041
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRACTITIONER
Name	:	KAREN COX
Credential	:	LPC
Telephone Number	:	503-507-1041

Provider Enumeration Date	:	06/14/2023
Last Update Date	:	06/14/2023

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