Individual provider · Type 1 NPI
Daniel R. Cook, LISAC
Addiction (Substance Use Disorder) Counselor · Phoenix, AZ
NPI number
1972903995
Active
Practice location
40 E. Mitchell Dr., Suite 100 & 200
Phoenix, AZ 85012-2330
Fax (602) 599-5711
Mailing address
202 E. Earll Dr., Suite 200
Phoenix, AZ 85012-2647
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LISAC-10897 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1972903995
Daniel R. Cook, LISAC's National Provider Identifier is 1972903995, issued on Aug 27, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 27, 2014.