Provider Demographics
NPI:1477263010
Name:AMASON, JOHN CODY (LPC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:CODY
Last Name:AMASON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 CROSS CREEK DR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-9613
Mailing Address - Country:US
Mailing Address - Phone:662-202-6941
Mailing Address - Fax:
Practice Address - Street 1:127 CROSS CREEK DR
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-9613
Practice Address - Country:US
Practice Address - Phone:662-202-6941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health