Organization
KRISTINA COOKE, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA COOKE LCSW, RPT-S (OWNER/THERAPIST)
(678) 462-3579
Entity
Organization
Contact information
Practice address
2854 JOHNSON FERRY RD STE 200, MARIETTA, GA 30062-5699
(678) 462-3579
Mailing address
5368 W BANK DR, MARIETTA, GA 30068-1703
(678) 462-3579
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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