Individual
CARRIE C COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CEAP, SAP, LMHC
Contact information
Practice address
4404 S FLORIDA AVE, LAKELAND, FL 33813-2169
(863) 709-8110
(863) 709-8118
Mailing address
904 HILL DR, HAINES CITY, FL 33844-9214
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 3915
FL
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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