BRIAN D COOK

JANESVILLE, WI
NPI1669021085
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  18938-130)
Enumeration Date2019-09-09
Last Update Date2023-07-26
Business Address
BRIAN D COOK SAC-IT, LCSW
1820 CENTER AVE STE 170
JANESVILLE, WI 53546-2878
Phone number: 608-755-1475
Mailing Address
BRIAN D COOK SAC-IT, LCSW
5109 WORLD DAIRY DR
MADISON, WI 53718-3807
Phone number: 608-242-0220
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