Individual provider · Type 1 NPI

Michael Allen Cook, LAC-23402

Mental Health Clinic/Center (Including Community Mental Health Center) · Tucson, AZ

NPI number 1194525626 Active

Practice location

6602 E Carondelet Dr # 85710
Tucson, AZ 85710-2119

Mailing address

9301 E 42nd St
Tucson, AZ 85730-2115

Other practice locations

  • 9301 E 42nd St, Tucson, AZ 85730-2115 · (907) 209-0829

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed
Mental Health Counselor 101YM0800XLAC-23402 (AZ)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1194525626

Michael Allen Cook, LAC-23402's National Provider Identifier is 1194525626, issued on Mar 14, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Tucson, AZ. The record was last updated on Apr 16, 2025.