Provider Demographics
NPI:1013291558
Name:JENNIFER COX LPC INC
Entity type:Organization
Organization Name:JENNIFER COX LPC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:405-922-5350
Mailing Address - Street 1:1421 NW 185TH ST
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73012-4041
Mailing Address - Country:US
Mailing Address - Phone:405-922-5350
Mailing Address - Fax:
Practice Address - Street 1:1421 NW 185TH ST
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73012-4041
Practice Address - Country:US
Practice Address - Phone:405-922-5350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health