Provider Demographics
NPI:1588861926
Name:COTTON, JEFFREY DEAN (MS)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:DEAN
Last Name:COTTON
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:MO
Mailing Address - Zip Code:64473-9655
Mailing Address - Country:US
Mailing Address - Phone:660-446-2532
Mailing Address - Fax:
Practice Address - Street 1:505 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:MO
Practice Address - Zip Code:64473-9655
Practice Address - Country:US
Practice Address - Phone:660-446-2532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health