Doctor Name: | TERRY E COOK |
NPI Number: | 1740409507 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC |
License Number: | E-0007925 |
Business Practice Address: | 3112 Cleveland Ave Nw Canton, OH - 447092813 |
Business Phone Number: | 3304910896 |
Business Fax Number: | 3304911298 |
Mailing Address: | 6494 Shipslanding Ave Nw, CANTON |
State: | OH |
Postal Code: | 447184211 |
Phone Number: | 3307443320 |
Fax Number: | 3307443677 |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 09/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | E-0007925 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |