Provider Demographics
NPI:1063757581
Name:COX, RONALD PAUL (MA, LPC, LCAS, SAP)
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:PAUL
Last Name:COX
Suffix:
Gender:M
Credentials:MA, LPC, LCAS, SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 SHARE CAKE RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:28328-7876
Mailing Address - Country:US
Mailing Address - Phone:910-990-9204
Mailing Address - Fax:
Practice Address - Street 1:707 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NC
Practice Address - Zip Code:28328-3503
Practice Address - Country:US
Practice Address - Phone:910-592-4507
Practice Address - Fax:910-592-4494
Is Sole Proprietor?:No
Enumeration Date:2012-12-10
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8571101YP2500X
NC2548101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6115178Medicaid