Individual
CIERRA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA-LPC
Contact information
Practice address
24382 PATRIOT LN, CRETE, IL 60417-2075
(708) 400-9108
Mailing address
24382 PATRIOT LN, CRETE, IL 60417-2075
(708) 400-9108
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
1708014371
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178014371
—
IL
Enumeration date
11/01/2019
Last updated
03/11/2025
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