Individual
MR. STEPHEN BRADLEY COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
2404 WISE RD, CONWAY, SC 29526-5521
(843) 365-8884
Mailing address
2404 WISE RD, CONWAY, SC 29526-5521
(843) 365-8884
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YS0200X
School Counselor
PPS-0601472
VA
Other
Enumeration date
04/25/2008
Last updated
02/01/2019
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