# CANDICE COOK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063543528
- **Authorized official:** CANDICE COOK EDD (DIRECTOR)
- **Authorized official phone:** (757) 675-1720

## Contact information

- **Practice address:** 236 MUSTANG TRL STE 202, VIRGINIA BEACH, VA 23452-7517
- **Practice address phone:** (757) 675-1720
- **Practice address fax:** (757) 306-4994
- **Mailing address:** 236 MUSTANG TRL STE 202, VIRGINIA BEACH, VA 23452-7517
- **Mailing address phone:** (757) 675-1720
- **Mailing address fax:** (757) 306-4994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | 0701002189 | VA | — |
| 106H00000X | Marriage & Family Therapist | — | VA | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 09/11/2025
