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NPI Code Detail

MEDICARE: KRISTINE M COOK LPC

MEDICARE: KRISTINE M COOK LPC
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
1101YP2500XProfessional Counselor001876MO

General Provider Information

NPI Number : 1356654701
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINE M COOK LPC
Provider Business Mailing Address
First Line : 900 E LAHARPE ST
Second Line :
City : KIRKSVILLE
State : MO
Zip : 63501-4520
Country : US
Telephone Number : 660-665-1962
Fax Number : 660-665-3989
Provider Business Practice Location Address
First Line : 8333 E BLUE PKWY
Second Line :
City : KANSAS CITY
State : MO
Zip : 64133-4750
Country : US
Telephone Number : 816-474-7677
Fax Number : 816-767-7671
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2010
Last Update Date : 07/14/2010

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Directions to “ KRISTINE M COOK LPC” Practice Location

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