Individual
MR. RICHARD ALLEN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADAC III
Contact information
Practice address
601 WALL ST, VALPARAISO, IN 46383-2512
(219) 531-3681
Mailing address
601 WALL ST, VALPARAISO, IN 46383-2512
(219) 531-3681
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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