Provider Demographics
NPI:1063713758
Name:COX, RAYMOND EARL (CSAC)
Entity type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:EARL
Last Name:COX
Suffix:
Gender:M
Credentials:CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3329 CHAPEL HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-2663
Mailing Address - Country:US
Mailing Address - Phone:919-419-0229
Mailing Address - Fax:919-490-3708
Practice Address - Street 1:3329 CHAPEL HILL BLVD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-2663
Practice Address - Country:US
Practice Address - Phone:919-419-0229
Practice Address - Fax:919-490-3708
Is Sole Proprietor?:No
Enumeration Date:2010-11-11
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101YA0400X101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)