Individual
AVERY BANKS COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15049 FLORIDA BLVD, BATON ROUGE, LA 70819-2602
(225) 775-0779
Mailing address
660 NEW RAFE MEYER RD, BATON ROUGE, LA 70807-1134
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41871432D
A HAND IN NEED
LA
Enumeration date
07/31/2017
Last updated
06/16/2018
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