Provider Demographics
NPI:1558831891
Name:COXON, DAVID
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:COXON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 NE 51ST ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3705
Mailing Address - Country:US
Mailing Address - Phone:509-953-4572
Mailing Address - Fax:
Practice Address - Street 1:4510 THACKERAY PL NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-4842
Practice Address - Country:US
Practice Address - Phone:206-486-7158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-29
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health