Individual
BENJAMIN D COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
9155 SW BARNES RD STE 205, PORTLAND, OR 97225-6629
(503) 216-2025
Mailing address
9155 SW BARNES RD STE 205, PORTLAND, OR 97225-6629
(503) 216-2025
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C5725
OR
Other
Enumeration date
06/13/2017
Last updated
09/30/2024
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