Individual
CARISSA MARIE COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 E MARKET ST STE A, LOUISVILLE, KY 40202-1218
(502) 588-4340
Mailing address
245 LOUISE WAY APT 20, MOUNT WASHINGTON, KY 40047-5119
(502) 498-0973
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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