Provider Demographics
NPI:1407696859
Name:COX, JESSICA E (MASTERS INTERN)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:E
Last Name:COX
Suffix:
Gender:F
Credentials:MASTERS INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:276 S SHERMAN ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-1634
Mailing Address - Country:US
Mailing Address - Phone:646-629-1677
Mailing Address - Fax:
Practice Address - Street 1:276 S SHERMAN ST UNIT 2
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-1634
Practice Address - Country:US
Practice Address - Phone:646-629-1677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health