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MRS. NANCY JANE COOK LPC
Professional >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1538322284
Individual Registrant:MRS. NANCY JANE COOK LPC
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
11921 MASON RD LICKING, MO 65542-9066 US
Tel: 417-217-1078 Fax: 573-674-4064
Tel: 417-217-1078 Fax: 573-674-4064
Contact information for business:
11921 MASON RD PO BOX 594 LICKING, MO 65542-9066 US
Tel: 417-217-1078 Fax: 573-674-4064
Tel: 417-217-1078 Fax: 573-674-4064
Registration Information:
NPI: 1538322284
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YP2500X | Behavioral Health & Social Service Providers Counselor Professional | MO | 2006034293 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
