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Individual

DAVID COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1997 HIGHWAY 51 S, COVINGTON, TN 38019-3630
(901) 476-8967
Mailing address
919 LEE AVE, BROWNSVILLE, TN 38012-2800

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC1200
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3127148
BCBS
TN
Enumeration date
09/21/2006
Last updated
07/08/2007
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