person
Tina Marie Cooke, LPC,LCADC,LCMHC-S
Professional Counselor in Wilmington, North Carolina
NPI 1437201399

Tina Marie Cooke is a Professional Counselor based in Carolina Beach, NC and is specialized in Professional. Tina Marie Cooke practices in Wilmington, NC and has the professional credentials of LPC,LCADC,LCMHC-S. The NPI Number for Tina Marie Cooke is 1437201399 and holds a License No. 37LC00148000 (North Carolina).

The current practice location address for Tina Marie Cooke is 2460 Delaney Ave, Wilmington, NC and can be reached out via phone at 910-407-9473 and via fax at 910-312-3632. You can also correspond with Tina Marie Cooke through the mailing address at 1512 BONITO LN, CAROLINA BEACH, NC - 28428-5765 (mailing address contact number: 973-919-6698).

Location: 2460 Delaney Ave, Wilmington, NC, 28428-5765
person
Provider Profile Details
NPI Number
1437201399
Provider Name
Tina Marie Cooke
Credential
LPC,LCADC,LCMHC-S
Provider Entity Type
Individual
Gender
Female
Address
2460 Delaney Ave, Wilmington, NC, 28428-5765
Phone Number
910-407-9473
Fax Number
910-312-3632
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2460 Delaney Ave
City
State
Zip
28403-6062
Phone Number
910-407-9473
Fax Number
910-312-3632
person
Provider Business Mailing Address Details
Address
1512 Bonito Ln
City
State
Zip
28428-5765
Phone Number
973-919-6698
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
37PC00016200 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
37PC00016200 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
37LC00148000 (New Jersey)
Definition
Definition to come...
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