| Doctor Name: | MARYANN COOK |
| NPI Number: | 1184899387 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., L.C.P.C. |
| License Number: | 180006876 |
| Business Practice Address: | 23157 S Thomas Dillon Dr Channahon, IL - 604103132 |
| Business Phone Number: | 8154678181 |
| Business Fax Number: | 8188285696 |
| Mailing Address: | 22959 S Frances Way, CHANNAHON |
| State: | IL |
| Postal Code: | 604103102 |
| Phone Number: | 8152581642 |
| Fax Number: | |
| NPI Enumeration Date: | 04/28/2008 |
| NPI Last Update Date: | 12/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 180006876 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |