Individual
TARA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
164 CHURCHILL DR, SPARTA, TN 38583-1525
(931) 246-9449
(931) 256-8130
Mailing address
164 CHURCHILL DR, SPARTA, TN 38583-1525
(931) 485-5995
(931) 256-8130
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5055
TN
101YM0800X
Mental Health Counselor
5055
TN
Other
Enumeration date
07/30/2020
Last updated
12/04/2024
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