Provider Demographics
NPI:1821411240
Name:COX, JAMES JR
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:COX
Suffix:JR
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 1:903 E CASWELL ST
Mailing Address - Street 2:SAME
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28501-5105
Mailing Address - Country:US
Mailing Address - Phone:252-525-5462
Mailing Address - Fax:
Practice Address - Street 1:903 E CASWELL ST
Practice Address - Street 2:SAME
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-5105
Practice Address - Country:US
Practice Address - Phone:252-525-5462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-22
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16215101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)