Individual
JENNIFER JANE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2153 E JOYCE BLVD, FAYETTEVILLE, AR 72703-4714
(479) 575-9471
Mailing address
701 MADISON DR, PRAIRIE GROVE, AR 72753-2871
(479) 715-3875
(870) 741-4066
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/26/2018
Last updated
04/16/2024
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