Individual
BENJAMIN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 HAMPTON AVE, SAINT LOUIS, MO 63139-3138
(314) 668-2804
Mailing address
6258 GOENER AVE, SAINT LOUIS, MO 63116-2240
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2023028334
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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