Individual
MRS. MARTA ELENA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
19781 SUGAR LN, WAYNESVILLE, MO 65583-3355
(573) 433-4846
Mailing address
19781 SUGAR LN, WAYNESVILLE, MO 65583-3355
(573) 433-4846
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
10/13/2011
Last updated
04/10/2024
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