Individual
MR. IVAN WILLIAM ROBERT COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LPC
Contact information
Practice address
21360 FM 487, BARTLETT, TX 76511-4123
(254) 527-3276
Mailing address
21360 FM 487, BARTLETT, TX 76511-4123
(254) 527-3276
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
5834
TX
1041C0700X
Clinical Social Worker
Primary
5658
TX
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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