Individual
MS. TEREIA SIDDEN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCAS, CCS
Contact information
Practice address
107 W INDEPENDENCE BLVD, SUITE 200, MOUNT AIRY, NC 27030-3589
(336) 786-5855
Mailing address
107 W INDEPENDENCE BLVD, SUITE 200, MOUNT AIRY, NC 27030-3589
(336) 786-5855
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS #470
NC
101YM0800X
Mental Health Counselor
LPC #3746
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102326
—
NC
Enumeration date
10/23/2006
Last updated
05/21/2013
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