Individual
DONNY WILLIAM COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC INTERN, 01592-I
Contact information
Practice address
205 S PRATT AVE, CARSON CITY, NV 89701-4730
(775) 882-3945
(775) 882-6126
Mailing address
205 S PRATT AVE, CARSON CITY, NV 89701-4730
(775) 882-3945
(775) 882-6126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01592-I
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023253267
—
NV
Enumeration date
04/18/2018
Last updated
04/18/2018
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