Individual
EMILY H COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
2130 PEMBERTON DR, FORT WAYNE, IN 46805-4628
(260) 602-8723
Mailing address
2730 BEACON ST, FORT WAYNE, IN 46805-3814
(260) 602-8723
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88000968A
IN
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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