Organization Name: | COOKS COUNSELING |
NPI Number: | 1053666537 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENIFER COOKS (OWNER, THERAPIST) |
Mailing Address: | 8325 Whitley Rd 200 Watauga |
State: | TX US |
Postal Code: | 761482487 |
Phone Number: | 4055171087 |
Fax Number: | |
NPI Enumeration Date: | 07/20/2012 |
NPI Last Update Date: | 07/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 64499 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |