Provider Demographics
NPI:1023123130
Name:COX, SANDI ELAINE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:SANDI
Middle Name:ELAINE
Last Name:COX
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MISS
Other - First Name:SANDI
Other - Middle Name:ELAINE
Other - Last Name:CUMMINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:3991 PRINGLE CREEK CT SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-3492
Mailing Address - Country:US
Mailing Address - Phone:503-362-7072
Mailing Address - Fax:
Practice Address - Street 1:1675 WINTER ST NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97303-7152
Practice Address - Country:US
Practice Address - Phone:503-585-0351
Practice Address - Fax:503-585-0212
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT0486101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health