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JOLANDA JEANETTE COOK L.C.S.W.
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1275502312
Individual Registrant: JOLANDA JEANETTE COOK L.C.S.W.
Gender: F
Gender: F
Location and contact information for practice:
2630 CENTRAL AVE EIELSON AFB, AK 99702-2325 US
Tel: 907-377-4041 Fax: 907-377-3690
Tel: 907-377-4041 Fax: 907-377-3690
Contact information for business:
PO BOX 71494 FAIRBANKS, AK 99707-1494 US
Tel: 907-479-6826 Fax: --
Tel: 907-479-6826 Fax: --
Registration Information:
NPI: 1275502312
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | AK | LCSW47 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
