Provider Demographics
NPI:1790677870
Name:COX, THOMAS AUGUSTUS II (MFT, PCC)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:AUGUSTUS
Last Name:COX
Suffix:II
Gender:M
Credentials:MFT, PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15141 IVY CT
Mailing Address - Street 2:
Mailing Address - City:ADELANTO
Mailing Address - State:CA
Mailing Address - Zip Code:92301-4821
Mailing Address - Country:US
Mailing Address - Phone:760-792-7079
Mailing Address - Fax:
Practice Address - Street 1:15141 IVY CT
Practice Address - Street 2:
Practice Address - City:ADELANTO
Practice Address - State:CA
Practice Address - Zip Code:92301-4821
Practice Address - Country:US
Practice Address - Phone:760-792-7079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9812101YM0800X
CA126788106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health