MEDICARE: MR. CHRISTOPHER AARON COOK LCMHC

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	101YP2500X	Professional Counselor	20379	NC

General Provider Information

NPI Number	:	1891069076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER AARON COOK LCMHC

Provider Business Mailing Address
First Line	:	7301 CARMEL EXECUTIVE PARK DR STE 200
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-4207
Country	:	US
Telephone Number	:	980-800-4323
Fax Number	:

Provider Business Practice Location Address
First Line	:	7301 CARMEL EXECUTIVE PARK DR STE 200
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-4207
Country	:	US
Telephone Number	:	980-800-4323
Fax Number	:

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

Provider Enumeration Date	:	03/06/2012
Last Update Date	:	09/27/2024

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