Individual
SELENA LAKISHA COOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6410 DOBBIN RD, COLUMBIA, MD 21045-4774
(443) 317-3392
Mailing address
PO BOX 344, STEVENSVILLE, MD 21666-0344
(443) 317-3392
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
09/11/2025
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