Individual provider · Type 1 NPI

Logan Lee Cook, COUNSELOR TECHNICIAN

Peer Specialist · Wasilla, AK

NPI number 1306401864 Active

Practice location

2953 E Fairview Loop
Wasilla, AK 99654

Mailing address

3600 San Jeronimo Dr Ste 210
Anchorage, AK 99508-2870

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1306401864

Logan Lee Cook, COUNSELOR TECHNICIAN's National Provider Identifier is 1306401864, issued on May 9, 2019. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Wasilla, AK. The record was last updated on May 9, 2019.