Individual provider · Type 1 NPI

Janisa Cooke

Addiction (Substance Use Disorder) Counselor · Suffolk, VA

NPI number 1588587786 Active

Practice location

1258 Holland Rd
Suffolk, VA 23434-6313

Call (804) 223-3410 Map

Mailing address

2016 Brookland Dr Apt D
Chesapeake, VA 23324-4600

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X5826 (VA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1588587786

Janisa Cooke's National Provider Identifier is 1588587786, issued on Aug 3, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Suffolk, VA. The record was last updated on Aug 3, 2026.