Individual
JIMMY JOE COOK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADAC
Contact information
Practice address
132 S WATER AVE, GALLATIN, TN 37066-2903
(615) 461-8597
Mailing address
132 S WATER AVE, GALLATIN, TN 37066-2903
(615) 461-8597
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LDC0000001405
TN
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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