Individual
MR. CHRISTOPHER D. COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICDC
Contact information
Practice address
5108 SANDY LN, FAIRFIELD, OH 45014-2738
(833) 510-4357
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(513) 873-1269
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.161985
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.162504
OH
Other
Enumeration date
11/02/2017
Last updated
11/17/2023
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