Most Relevant Information
Provider Data
| NPI Number: | 1003024860 |
| Provider Name: | TERRY W COOK LPC, NCC, MAC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 0469 |
Most Important Dates
| Enumeration Date: | 05/17/2007 |
| Last Updated: | 01/24/2011 |
Provider Practice Location
100 CACTUS BEND CV
GEORGETOWN
TX
786335398
Practice Location Phone/Fax
| Phone: | 5128636180 |
| Fax: |
Provider Mailing Location
100 CACTUS BEND CV
GEORGETOWN
TX
786335398
Provider Mailing Phone/Fax
| Phone: | 5128636180 |
| Fax: |