| NPI | 1730735028 |
|---|---|
| Former Name | MANDY LYNN COOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC.0021373) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 24CRM3244) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 24-06-11159) | |
| 101YM0800X Counselor, Mental Health (Licence: OR 24-QMHA-II-000264) | |
| 171M00000X Case Manager/Care Coordinator (Licence: OK 316485) | |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2025-11-04 |