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General NPI Number Information
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NPI Number | 1679892301
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Entity Type | Individual
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Provider Name | LAURA A COOK LPC
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Gender | Female
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Dates
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Enumeration Date | 05/20/2010
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 4410 CLAIBORNE SQ E STE 334
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City | HAMPTON
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State | VA
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Zip | 23666-2074
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Country | US
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Telephone | 576-061-3777
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Fax | 757-951-1286
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Provider Business Mailing Address
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Address Line | 4310 METRO PKWY STE 205
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City | FORT MYERS
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State | FL
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Zip | 33916-9416
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Country | US
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Telephone | 239-690-6906
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0701004783
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License Number State | VA
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