Individual
TRACEY COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
486 YOUNGS MILL RD, KINGSTON, GA 30145-1864
(706) 346-8513
Mailing address
486 YOUNGS MILL RD, KINGSTON, GA 30145-1864
(706) 346-8513
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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