George W. Cook Professional Corporation

NPI #1659932663 in Champaign, Illinois

Provider Information

NPI Number: 1659932663
Entity Type: Organization
Organization Name: George W. Cook Professional Corporation
Primary Specialty: Counselor - Professional
Enumeration Date: Jun 21, 2019
Last Updated: Jun 21, 2019

Practice Location

Address: 1002 MAYFAIR RD
City: Champaign
State: Illinois
ZIP Code: 61821-4435
Phone: (217) 689-1678

Authorized Official

Name: GEORGE COOK, LCSW, LCPC
Title: OWNER/LEAD THERAPIST
Phone: (217) 689-1678

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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