Individual
SAMANTHA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5461 LUGE LN APT 2201, PARK CITY, UT 84098-7646
(919) 417-3379
Mailing address
5461 LUGE LN APT 2201, PARK CITY, UT 84098-7646
(919) 417-3379
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13408604-3502
UT
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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