Provider Demographics
NPI:1225458656
Name:COX, JESSECA SCHLEI (MA)
Entity Type:Individual
Prefix:MISS
First Name:JESSECA
Middle Name:SCHLEI
Last Name:COX
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2519 WALLACE AVE
Mailing Address - Street 2:APT. D2
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-2255
Mailing Address - Country:US
Mailing Address - Phone:502-553-1791
Mailing Address - Fax:
Practice Address - Street 1:2519 WALLACE AVE
Practice Address - Street 2:APT. D2
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-2255
Practice Address - Country:US
Practice Address - Phone:502-553-1791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-24
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker