Organization
COOK COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE COOK LPC (OWNER)
(860) 908-0166
Entity
Organization
Contact information
Practice address
1 TOWNE PARK PLZ, NORWICH, CT 06360-2247
(860) 908-0166
Mailing address
3 RUSSMAR TRL, COLUMBIA, CT 06237-1417
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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