Doctor Name: | JAMES WILLIAM COOKSY |
NPI Number: | 1023194404 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LICSW, LADC-I |
License Number: | 1028 |
Business Practice Address: | 664 Main St # A Amherst, MA - 010022439 |
Business Phone Number: | 4133679741 |
Business Fax Number: | 4133679741 |
Mailing Address: | 664 Main St # A, AMHERST |
State: | MA |
Postal Code: | 010022439 |
Phone Number: | 4133679741 |
Fax Number: | 4133679741 |
NPI Enumeration Date: | 10/28/2006 |
NPI Last Update Date: | 09/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1028 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |