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Individual

CHARLIE F COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1435 OGLETHORPE AVE, ATHENS, GA 30606-2135
(706) 549-7755
(706) 549-0428
Mailing address
1435 OGLETHORPE AVE, ATHENS, GA 30606-2135
(706) 549-7755
(706) 549-0428

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000912
GA

Other

Enumeration date
01/11/2007
Last updated
07/08/2007
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