Organization · Type 2 NPI

Kristina Cooke, Lcsw, LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Marietta, GA

NPI number 1265913792 Active

Practice location

2854 Johnson Ferry Rd Ste 200
Marietta, GA 30062-5699

Mailing address

5368 W Bank Dr
Marietta, GA 30068-1703

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

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

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About NPI 1265913792

Kristina Cooke, Lcsw, LLC's National Provider Identifier is 1265913792, issued on Aug 23, 2018. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Marietta, GA. The record was last updated on Aug 23, 2018.