Individual
MR. JUSTIN COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(360) 604-2051
Mailing address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(360) 604-2051
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60444106
WA
101YM0800X
Mental Health Counselor
LH60454974
WA
Other
Enumeration date
01/30/2014
Last updated
04/20/2015
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