Individual provider · Type 1 NPI
Makenzie Jewel Cook, P-LPC
Professional Counselor · Southaven, MS
NPI number
1790597789
Active
Practice location
1630 Goodman Rd E Ste 5
Southaven, MS 38671-9556
Mailing address
6584 Love Rd
Hernando, MS 38632-8831
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | P-1293 (MS) |
| Professional Counselor Primary | 101YP2500X | P-1293 (MS) |
Professional Counselor: Definition to come...
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About NPI 1790597789
Makenzie Jewel Cook, P-LPC's National Provider Identifier is 1790597789, issued on Jan 25, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Southaven, MS. The record was last updated on Jan 30, 2025.