Individual
ALISA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8442 MICHENER AVE, PHILADELPHIA, PA 19150-1612
(267) 259-5574
Mailing address
8442 MICHENER AVE, PHILADELPHIA, PA 19150-1612
(267) 259-5574
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
PA
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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