Individual
LA TISHA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., NCC., LPC
Contact information
Practice address
145 1ST ST, FORT LUPTON, CO 80621-2002
(970) 347-2120
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0015783
CO
Other
Enumeration date
04/13/2017
Last updated
10/09/2019
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