Individual
TIFFANY A COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCNHCS, LCAS
Contact information
Practice address
549 COX RD, GASTONIA, NC 28054-0628
(704) 865-1558
(704) 865-9908
Mailing address
13726 DEALTRY LN, FORT MILL, SC 29707-9001
(704) 293-4297
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1639
NC
Other
Enumeration date
06/04/2010
Last updated
12/05/2024
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