Individual
DR. CYNTHIA JACOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
17121 SE 270TH PL, STE #205, COVINGTON, WA 98042-5431
(253) 638-7475
(253) 638-7465
Mailing address
17121 SE 270TH PL, STE #205, COVINGTON, WA 98042-5431
(253) 638-7475
(253) 638-7465
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RC00027939
WA
103T00000X
Psychologist
PY00002069
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111940
L & I NUMBER
WA
01
—
8917777
CRIME VICTIMS NUMBER
WA
Enumeration date
12/22/2006
Last updated
09/11/2025
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