Organization
SHALOM MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD COOKE PH.D., LPC (COUNSELOR)
(336) 785-1573
Entity
Organization
Contact information
Practice address
4535 ZACHARY ST, WINSTON SALEM, NC 27107-6445
(336) 785-1573
Mailing address
4535 ZACHARY ST, WINSTON SALEM, NC 27107-6445
(336) 785-1573
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8639
NC
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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