Provider Demographics
NPI:1285888636
Name:COX, DAN E (LPC)
Entity type:Individual
Prefix:
First Name:DAN
Middle Name:E
Last Name:COX
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 E. HISTORIC COLUMBIA RIVER HWY
Mailing Address - Street 2:SUITE 207
Mailing Address - City:TROUTDALE
Mailing Address - State:OR
Mailing Address - Zip Code:97060
Mailing Address - Country:US
Mailing Address - Phone:503-618-1800
Mailing Address - Fax:503-618-1820
Practice Address - Street 1:107 E. HISTORIC COLUMBIA RIVER HWY
Practice Address - Street 2:SUITE 207
Practice Address - City:TROUTDALE
Practice Address - State:OR
Practice Address - Zip Code:97060
Practice Address - Country:US
Practice Address - Phone:503-618-1800
Practice Address - Fax:503-618-1820
Is Sole Proprietor?:No
Enumeration Date:2008-11-12
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1149101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor