Individual
MR. DWAYNE MICHAEL COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
1121 E SOUTHEAST LOOP 323, SUITE 105, TYLER, TX 75701-9660
(903) 509-4232
(903) 509-9918
Mailing address
1121 E SOUTHEAST LOOP 323, SUITE 105, TYLER, TX 75701-9660
(903) 509-4232
(903) 509-9918
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
877
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7856
INTERNATIONAL CERTIFICATE
TX
01
—
877
LCDC
TX
Enumeration date
11/28/2006
Last updated
07/08/2007
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