Individual
KRISTY-ANN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
208 SENTRY LN, MARTINSBURG, WV 25401-2973
(845) 242-1084
Mailing address
208 SENTRY LN, MARTINSBURG, WV 25401-2973
(845) 242-1084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
20425
MD
101YM0800X
Mental Health Counselor
BP00943769
WV
1041C0700X
Clinical Social Worker
Primary
0904011989
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225483233
—
VA
05
—
1225483233
—
WV
Enumeration date
04/27/2016
Last updated
07/07/2025
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