Individual
TIA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2333 ONTARIO RD NW, WASHINGTON, DC 20009-2627
(202) 483-8196
Mailing address
2333 ONTARIO RD NW, WASHINGTON, DC 20009-2627
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LGPC200001340
DC
101YP2500X
Professional Counselor
Primary
PRC200002252
DC
Other
Enumeration date
05/14/2022
Last updated
01/13/2025
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