| Doctor Name: | DR. TERRY W COOK |
| NPI Number: | 1003024860 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC, NCC, MAC |
| License Number: | 0469 |
| Business Practice Address: | 100 Cactus Bend Cv Georgetown, TX - 786335398 |
| Business Phone Number: | 5128636180 |
| Business Fax Number: | |
| Mailing Address: | 100 Cactus Bend Cv, GEORGETOWN |
| State: | TX |
| Postal Code: | 786335398 |
| Phone Number: | 5128636180 |
| Fax Number: | |
| NPI Enumeration Date: | 05/17/2007 |
| NPI Last Update Date: | 01/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0469 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |