Individual
MR. KENNETH LEE COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPS, ATR
Contact information
Practice address
4133 RUCKLE ST, INDIANAPOLIS, IN 46205-2720
(317) 965-8599
Mailing address
4133 N RUCKLE ST, INDIANAPOLIS, IN 46205
(317) 965-8599
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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