Provider Demographics
NPI:1255086336
Name:MCCOY-COX, JULIE ANN (LAC, LMT)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:MCCOY-COX
Suffix:
Gender:F
Credentials:LAC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18106 SE 37TH CIR
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-8264
Mailing Address - Country:US
Mailing Address - Phone:360-904-7968
Mailing Address - Fax:
Practice Address - Street 1:200 E 25TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-3219
Practice Address - Country:US
Practice Address - Phone:360-904-7968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60611619171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist