Cook, Janice G

Cook, Janice G is an individual health care provider with primary practice located at 123 S 10Th St Ste 510, Mt Vernon IL 62864. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Cook, Janice G can be contacted via phone (618) 242-8139.

Contact Information

Primary practice address
123 S 10Th St Ste 510 Mt Vernon IL 62864
Phone: (618) 242-8139
Fax: (618) 242-8141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 149006900 Illinois

Profile Details

NPI number 1689728552
LBN Legal business name Cook, Janice G
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated May 15th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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