Individual
JESSICA D COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
13659 E 104TH AVE UNIT 800, COMMERCE CITY, CO 80022-9406
(720) 520-7755
(719) 212-1473
Mailing address
8931 HURON ST, THORNTON, CO 80260-6806
(303) 704-0233
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12345
—
CO
Enumeration date
05/10/2012
Last updated
07/21/2022
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