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NPI Code Detail

MEDICARE: FELIX COOK JR.

MEDICARE: FELIX COOK JR.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorCO

General Provider Information

NPI Number : 1194115832
Entity Type Code : Individual
Provider Name (Legal Business Name) : FELIX COOK JR.
Provider Business Mailing Address
First Line : 3225 S WADSWORTH BLVD UNIT T
Second Line :
City : LAKEWOOD
State : CO
Zip : 80227-5009
Country : US
Telephone Number : 303-231-0090
Fax Number :
Provider Business Practice Location Address
First Line : 3225 S WADSWORTH BLVD UNIT T
Second Line :
City : LAKEWOOD
State : CO
Zip : 80227-5009
Country : US
Telephone Number : 303-231-0090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2015
Last Update Date : 02/03/2015

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Directions to “ FELIX COOK JR. ” Practice Location

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