Individual
GRACE A COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
745 E 18TH AVE, DENVER, CO 80203-1414
(303) 860-0500
Mailing address
4860 ROBB ST, SUITE 201, WHEAT RIDGE, CO 80033-2184
(303) 278-7418
(303) 223-9315
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12539
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13860393
CAQH
CO
01
—
LPC.0012539
PROFESSIONAL LICENSE
CO
Enumeration date
07/18/2016
Last updated
07/18/2016
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