Individual
JONATHON ROBERT COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP-T
Contact information
Practice address
3773 MARTIN WAY E STE 105, OLYMPIA, WA 98506-4400
(360) 688-7318
(360) 688-7312
Mailing address
4836 BOSTON HARBOR RD NE, OLYMPIA, WA 98506-1843
(360) 489-5778
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60960767
WA
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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