Individual
JASON EUGENE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
540 GREENHAVEN RD STE 204, ANOKA, MN 55303-1675
(763) 203-3164
(651) 925-0524
Mailing address
540 GREENHAVEN RD STE 204, ANOKA, MN 55303-1675
(637) 203-3164
(519) 250-5246
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MN
Other
Enumeration date
06/12/2015
Last updated
01/29/2019
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