Individual provider · Type 1 NPI

Kelly Cook

Mental Health Counselor · Tigard, OR

NPI number 1225323769 Active

Practice location

10313 SW 69th Ave
Tigard, OR 97223-9103

Mailing address

13298 SW Yarrow Way
Tigard, OR 97223-2661

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1225323769

Kelly Cook's National Provider Identifier is 1225323769, issued on Jun 13, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on Jun 13, 2011.