Individual
ALEXANDRA MARIE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC
Contact information
Practice address
412 STATE ROUTE 37, AKWESASNE, NY 13655-3109
(518) 358-3141
(518) 358-9175
Mailing address
412 STATE ROUTE 37, AKWESASNE, NY 13655-3109
(518) 358-3141
(518) 358-9175
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001863-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001863
LICENSE NUMBER
NY
Enumeration date
02/26/2007
Last updated
07/08/2007
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