Doctor Name: | MS. SHARON O COOK |
NPI Number: | 1184799637 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, LMFT |
License Number: | 01597 &1300 |
Business Practice Address: | 6410 Southwest Blvd Suite # 205 Benbrook, TX - 761093914 |
Business Phone Number: | 8177358686 |
Business Fax Number: | 8177354565 |
Mailing Address: | 6410 Southwest Blvd, Suite # 205 BENBROOK |
State: | TX |
Postal Code: | 761093914 |
Phone Number: | 8177358686 |
Fax Number: | 8177354565 |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 01597 &1300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |