Individual
SHAWNA RENE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15119 SCOTER ST, CHARLOTTE, NC 28262-2123
(619) 871-8594
Mailing address
15119 SCOTER ST, CHARLOTTE, NC 28262-2123
(619) 871-8594
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
20403A
NC
Other
Enumeration date
04/18/2026
Last updated
04/18/2026
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