Individual
SHANEY Q COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCMHC
Contact information
Practice address
2 WASHINGTON ST STE 312, DOVER, NH 03820-3890
(603) 787-3104
Mailing address
2 WASHINGTON ST STE 312, DOVER, NH 03820-3890
(603) 787-3104
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1114
NH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CC4954
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
MH10321
FL
101YM0800X
Mental Health Counselor
Primary
1114
NH
101YM0800X
Mental Health Counselor
CC4954
ME
101YM0800X
Mental Health Counselor
MH10321
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3102222
—
NH
Enumeration date
02/02/2011
Last updated
09/03/2019
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