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Provider Information for 1790012060


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HELEN CABELL COOK LPC


Sex: Female

NPI: 1790012060
Last Updated: 2015-06-19
Certification Date:

Details

NameValue
NPI1790012060
Enumeration Date2009-11-06
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 840 MAIN ST
HONESDALE, PA 18431-9800
United States

Phone: 570-253-0321 | Fax:570-253-5991
 
Primary Practice Address 840 MAIN ST
HONESDALE, PA 18431-9800
United States

Phone: 570-253-0321 | Fax:570-253-5990
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthPAPC005319