Individual
JILL KATHERINE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1590 SE N ST, GRANTS PASS, OR 97526-4026
(541) 441-3707
Mailing address
677 PLEASANTVILLE WAY, GRANTS PASS, OR 97526-6204
(541) 441-3707
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0445
OR
Other
Enumeration date
07/01/2010
Last updated
07/08/2010
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