Individual provider · Type 1 NPI
Kelly J. Cook
Mental Health Counselor · Mount Vernon, IL
NPI number
1639003445
Active
Practice location
4206 Williamson Pl Ste 1
Mount Vernon, IL 62864-6761
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1639003445
Kelly J. Cook's National Provider Identifier is 1639003445, issued on Jun 9, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mount Vernon, IL. The record was last updated on Jun 9, 2026.