Individual provider · Type 1 NPI

Tia M. Cook

Mental Health Counselor · Boardman, OR

NPI number 1972017887 Active

Practice location

70362 Kunze Ln
Boardman, OR 97818-8013

Call (541) 481-3233 Map

Fax (541) 481-3234

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1972017887

Tia M. Cook's National Provider Identifier is 1972017887, issued on Nov 30, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boardman, OR. The record was last updated on Mar 16, 2020.