# TIFFANY COOK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1205569456
- **Gender:** F
- **Credential:** CDCA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CDCA.187417 | OH | Yes |
| 175T00000X | Peer Specialist | APS.002995 | OH | — |

## Other

- **Enumeration date:** 07/06/2022
- **Last updated:** 05/28/2025