Individual
MR. IAN CALEB COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
2200 S 6TH ST, SPRINGFIELD, IL 62703-3454
(217) 698-7150
Mailing address
2200 S 6TH ST, SPRINGFIELD, IL 62703-3454
(217) 698-7150
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.015423
IL
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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