Individual
DR. JEFFREY DOUGLAS COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
162 W MAIN ST STE G, WHITEWATER, WI 53190-1995
(262) 379-0419
Mailing address
162 W MAIN ST STE G, WHITEWATER, WI 53190-1995
(262) 379-0419
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4946-125
WI
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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