# MARY COX, LMFT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447857040
- **Authorized official:** MARY COX (LMFT)
- **Authorized official phone:** (951) 472-2070

## Contact information

- **Practice address:** 13800 HEACOCK ST STE 230A, MORENO VALLEY, CA 92553-8824
- **Practice address phone:** (951) 472-2070
- **Practice address fax:** (951) 472-2071
- **Mailing address:** 15858 SULPHUR SPRINGS RD, MORENO VALLEY, CA 92555-9104
- **Mailing address phone:** (951) 413-4534

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/06/2020
- **Last updated:** 02/02/2021