Individual
DIANE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDS, LPC, BC-TMH
Contact information
Practice address
820 S UNIVERSITY BLVD STE 4F, MOBILE, AL 36609-7862
(251) 281-8562
(205) 839-8330
Mailing address
5270 RODGERS RD, EIGHT MILE, AL 36613-9136
(251) 656-8036
(205) 839-8330
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3227
AL
101Y00000X
Counselor
LPC 1562
WY
Other
Enumeration date
03/22/2016
Last updated
11/12/2020
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