Individual
MRS. KRYSTALLIA NICOLE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2228 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803-3812
(803) 470-4076
Mailing address
2231 HILLSDALE DR, AIKEN, SC 29803-5233
(803) 292-6314
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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