Individual
DR. MICHELLE P COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D, LADC I, CADC
Contact information
Practice address
4390 BELLE OAKS DR, NORTH CHARLESTON, SC 29405
(843) 414-2670
Mailing address
1211 DINGLE RD, MOUNT PLEASANT, SC 29466-9386
(978) 500-2776
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
10590
MA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
1470
SC
Other
Enumeration date
08/20/2013
Last updated
07/21/2022
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