Individual
MISS JILL C COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LADC, LMHP
Contact information
Practice address
2315 W 39TH ST, 102, KEARNEY, NE 68845
(308) 338-0823
(308) 338-0823
Mailing address
2315 W 39TH ST, 102, KEARNEY, NE 68845
(308) 338-0823
(308) 338-0823
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
457
NE
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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