Provider Demographics
NPI:1609179043
Name:COX, RHONDA JEAN (MA, LPC, CAC III)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:JEAN
Last Name:COX
Suffix:
Gender:F
Credentials:MA, LPC, CAC III
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:JEAN
Other - Last Name:GOLLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:623 N 8TH ST
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-3308
Mailing Address - Country:US
Mailing Address - Phone:970-201-0158
Mailing Address - Fax:
Practice Address - Street 1:623 N 8TH ST
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-3308
Practice Address - Country:US
Practice Address - Phone:970-201-0158
Practice Address - Fax:970-245-3216
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-07
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACC 0020824101YA0400X
CO11180101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)