Basic Information
| Provider Information | |||||||||
| NPI: | 1447300827 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COX | ||||||||
| FirstName: | LISA | ||||||||
| MiddleName: | LYNNE | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | LMFT | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 457 | ||||||||
| Address2: | |||||||||
| City: | FOREST RANCH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 959420457 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5303431556 | ||||||||
| FaxNumber: | 5303431556 | ||||||||
| Practice Location | |||||||||
| Address1: | 107 PARMAC RD STE 4 | ||||||||
| Address2: | |||||||||
| City: | CHICO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 959262218 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5308912850 | ||||||||
| FaxNumber: | 5308956549 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/10/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | MFT31988 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.