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NPI Code Detail

MEDICARE: KRISTIN ELIZABETH COOK M.ED, NCC, LAPC

MEDICARE: KRISTIN ELIZABETH COOK M.ED, NCC, LAPC
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
1101Y00000XCounselorAPC001495PA

General Provider Information

NPI Number : 1255217170
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN ELIZABETH COOK M.ED, NCC, LAPC
Provider Business Mailing Address
First Line : 510 E MAIN ST
Second Line :
City : LITITZ
State : PA
Zip : 17543-2140
Country : US
Telephone Number : 717-405-0343
Fax Number :
Provider Business Practice Location Address
First Line : 510 E MAIN ST
Second Line :
City : LITITZ
State : PA
Zip : 17543-2140
Country : US
Telephone Number : 717-405-0343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2025
Last Update Date : 08/14/2025

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