person
Kathleen Anne Cook, LCSW
Mental Health Counselor in South Bend, Indiana
NPI 1427114339

Kathleen Anne Cook is a Mental Health Counselor based in South Bend, IN and is specialized in Mental Health. Kathleen Anne Cook practices in South Bend, IN and has the professional credentials of LCSW. The NPI Number for Kathleen Anne Cook is 1427114339 and holds a License No. 34002108A (Indiana).

The current practice location address for Kathleen Anne Cook is 1817 Miami St, South Bend, IN and can be reached out via phone at 574-234-3111.

Location: 1817 Miami St, South Bend, IN, 46614-5186
person
Provider Profile Details
NPI Number
1427114339
Provider Name
Kathleen Anne Cook
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1817 Miami St, South Bend, IN, 46614-5186
Phone Number
574-234-3111
Fax Number
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
34002108A 01 IN SOCIAL WORK LICENSE
institution
Provider Business Practice Location Address Details
Address
1817 Miami St
City
State
Zip
46613-2821
Phone Number
574-234-3111
Fax Number
person
Provider Business Mailing Address Details
Address
1817 Miami St
City
State
Zip
46613-2821
Phone Number
574-234-3111
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
34002108A (Indiana)
Definition
Definition to come...
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