Individual
CRYSTAL GAIL COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
35103 STATE HIGHWAY 79 S, OLNEY, TX 76374-2505
(940) 867-9052
Mailing address
PO BOX 42, OLNEY, TX 76374-0042
(940) 867-9052
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15090
TX
Other
Enumeration date
01/19/2020
Last updated
01/19/2020
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