Healthcare Provider Details

I. General information

NPI: 1730991027
Provider Name (Legal Business Name): ALLISON COOK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2025
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9730 WESTOVER HILLS BLVD STE 108
SAN ANTONIO TX
78251-4842
US

IV. Provider business mailing address

6418 ECKHERT RD APT 7206
SAN ANTONIO TX
78240-3153
US

V. Phone/Fax

Practice location:
  • Phone: 210-366-3700
  • Fax:
Mailing address:
  • Phone: 662-341-0944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number83630
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: