Individual
TIMOTHY COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, NCC, MS
Contact information
Practice address
940 EBENEZER BLVD, MADISON, MS 39110-6002
(601) 790-0583
(662) 643-4174
Mailing address
202 SHERYL DR, MADISON, MS 39110-9641
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2937
MS
Other
Enumeration date
06/03/2019
Last updated
04/03/2023
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