Individual
HANNAH MYKEL COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, MA, LLMFT, LLPC
Contact information
Practice address
118 MAIN ST, BUCHANAN, MI 49107-1455
(219) 617-5571
Mailing address
2226 RIBOURDE DR, SOUTH BEND, IN 46628-3447
(219) 617-5571
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/28/2021
Last updated
06/10/2024
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