Individual
DANIEL R COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISAC
Contact information
Practice address
40 E. MITCHELL DR., SUITE 100 & 200, PHOENIX, AZ 85012-2330
(602) 808-2800
(602) 599-5711
Mailing address
202 E. EARLL DR., SUITE 200, PHOENIX, AZ 85012-2647
(602) 808-2800
(602) 599-5711
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-10897
AZ
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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