DANIEL R COOK

PHOENIX, AZ
NPI1972903995
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: AZ  LISAC-10897)
Enumeration Date2014-08-27
Last Update Date2014-08-27
Business Address
DANIEL R COOK LISAC
40 E. MITCHELL DR. SUITE 100 & 200
PHOENIX, AZ 85012-2330
Phone number: 602-808-2800
Mailing Address
DANIEL R COOK LISAC
202 E. EARLL DR. SUITE 200
PHOENIX, AZ 85012-2647
Phone number: 602-808-2800