person
Mr. Kenneth John Cooke
Professional Counselor in Virginia Beach, Virginia
NPI 1629399175

Kenneth John Cooke is a Professional Counselor based in Virginia Beach, VA and is specialized in Professional. Kenneth John Cooke practices in Virginia Beach, VA. The NPI Number for Kenneth John Cooke is 1629399175 and holds a License No. 0701004849 (Virginia).

The current practice location address for Kenneth John Cooke is 3500 Virginia Beach Blvd, Virginia Beach, VA and can be reached out via phone at 757-606-0015.

Location: 3500 Virginia Beach Blvd, Virginia Beach, VA, 23452-4445
person
Provider Profile Details
NPI Number
1629399175
Provider Name
Kenneth John Cooke
Credential
Provider Entity Type
Individual
Gender
Male
Address
3500 Virginia Beach Blvd, Virginia Beach, VA, 23452-4445
Phone Number
757-606-0015
Fax Number
Provider Enumeration Date
06/18/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3500 Virginia Beach Blvd
City
State
Zip
23452-4445
Phone Number
757-606-0015
Fax Number
person
Provider Business Mailing Address Details
Address
3500 Virginia Beach Blvd
City
State
Zip
23452-4445
Phone Number
757-606-0015
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701004849 (Virginia)
Definition
Definition to come...
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