Individual
JACIE MICHELLE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-C
Contact information
Practice address
102 N ELM PL STE G, BROKEN ARROW, OK 74012-3883
(918) 383-2426
Mailing address
PO BOX 938, INOLA, OK 74036-0938
(918) 383-2426
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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