Individual
DR. DEVEONNE COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LICDC
Contact information
Practice address
975 S. SUNBURY ROAD, WESTERVILLE, OH 43081
(614) 419-7189
(614) 882-1380
Mailing address
P.O. BOX 361061, COLUMBUS, OH 43236-1061
(614) 419-7189
(614) 882-1380
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
976036
OH
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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