Individual
JANICE G COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
123 S 10TH ST, STE 510, MT VERNON, IL 62864
(618) 242-8139
(618) 242-8141
Mailing address
123 S 10TH ST, STE 510, MT VERNON, IL 62864
(618) 242-8139
(618) 242-8141
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
149006900
IL
Other
Enumeration date
01/22/2007
Last updated
05/15/2008
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