Individual
JENNIFER COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCMHC, NCC
Contact information
Practice address
5040 NEW CENTRE DR STE D, WILMINGTON, NC 28403-1737
(910) 613-8661
Mailing address
5040 NEW CENTRE DR STE D, WILMINGTON, NC 28403-1737
(910) 613-8661
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15242
NC
101YM0800X
Mental Health Counselor
A15242
NC
Other
Enumeration date
10/24/2019
Last updated
04/19/2022
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