MEDICARE: FRANCESCA COOK

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
1	101YM0800X	Mental Health Counselor	IMH22013	FL

General Provider Information

NPI Number	:	1215680608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCESCA COOK

Provider Business Mailing Address
First Line	:	1261 BRAMLEY LN
Second Line	:
City	:	DELAND
State	:	FL
Zip	:	32720-0847
Country	:	US
Telephone Number	:	407-750-2245
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 DOUGLAS AVE STE 2050
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-2060
Country	:	US
Telephone Number	:	407-285-6284
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2022
Last Update Date	:	01/27/2022

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Directions to “ FRANCESCA COOK ” Practice Location

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