Brandon Blake Cox, M.A., PLPC

Individual provider Active NPI Professional Counselor · Springfield, MO

NPI 1598090946 · NPPES record last updated Oct 2, 2009

Key facts

NPI
1598090946
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
2009029440 (MO)
Practice address
3046 S Delaware Ave
Suite E
Springfield, MO 65804-6418
Phone
(417) 496-9650
NPI assigned
Oct 2, 2009
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2009029440MOMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2009029440 MO Yes

Addresses

Primary practice location

3046 S Delaware Ave
Suite E
Springfield, MO 65804-6418

Mailing address

3046 S Delaware Ave
Suite E
Springfield, MO 65804-6418
Phone (417) 496-9650

Other providers in Springfield, MO

All providers in Springfield, MO · Professional Counselor in Missouri

Sources for this page

Verify at the official NPI Registry.