Individual
MICHAEL ALLEN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC-23402
Contact information
Practice address
6602 E CARONDELET DR # 85710, TUCSON, AZ 85710-2119
(520) 524-4757
Mailing address
9301 E 42ND ST, TUCSON, AZ 85730-2115
(907) 209-0829
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LAC-23402
AZ
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/14/2025
Last updated
04/16/2025
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