Individual
TIFFANY COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
2910 EMERSON AVE, PARKERSBURG, WV 26104-2519
(740) 856-1084
Mailing address
2910 EMERSON AVE, PARKERSBURG, WV 26104-2519
(740) 856-1084
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.187417
OH
175T00000X
Peer Specialist
APS.002995
OH
Other
Enumeration date
07/06/2022
Last updated
05/28/2025
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