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MRS. NANCY JANE COOK LPC

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1538322284

Individual Registrant:
MRS. NANCY JANE COOK LPC
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

Contact information for business:
11921 MASON RD PO BOX 594 LICKING, MO 65542-9066 US
Tel: 417-217-1078  Fax: 573-674-4064

Registration Information:
NPI: 1538322284
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
MO2006034293

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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