MEDICARE: PATRICK K COX LPC

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	101YP2500X	Professional Counselor	500938-6004

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	260022408	OTHER		RAILROAD MEDICARE

General Provider Information

NPI Number	:	1982780219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK K COX LPC

Provider Business Mailing Address
First Line	:	237 26TH STREET
Second Line	:
City	:	OGDEN
State	:	UT
Zip	:	84401-3105
Country	:	US
Telephone Number	:	801-625-3605
Fax Number	:	801-625-3615

Provider Business Practice Location Address
First Line	:	4205 N 900 W
Second Line	:
City	:	PLEASANT VIEW
State	:	UT
Zip	:	84414-1011
Country	:	US
Telephone Number	:	801-745-5578
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2006
Last Update Date	:	01/09/2024

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Directions to “ PATRICK K COX LPC” Practice Location

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