Cook, Kenneth Bruce
Cook, Kenneth Bruce is an sole proprietor health care provider with primary practice located at 1260 Concord Rd Se Suite 202, Smyrna GA 30080-5306. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cook, Kenneth Bruce can be contacted via phone (770) 436-1879.Contact Information
Primary practice address
1260 Concord Rd Se Suite 202
Smyrna GA 30080-5306
Phone: (770) 436-1879
Fax: (770) 434-3005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW000292 | Georgia |
Profile Details
| NPI number | 1295777183 |
|---|---|
| LBN Legal business name | Cook, Kenneth Bruce |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295777183 | NPPES |
| Georgia | Other | CSW000292 | LICENSED CLINICAL SOCIAL |
Popular Providers
-
Thyne, Katherine Cynthia
3345 Kathy Ln Se , Smyrna GA 30080-4502 -
Wachtel, Rosemary Ann
2300 Lake Park Dr Se Suite 100, Smyrna GA 30080-4076 -
Nation, Rosalind J.
1260 Concord Rd Se Suite 103, Smyrna GA 30080-5306 -
Knop, Julie Ellen
2300 Lake Park Dr Se Suite 100, Smyrna GA 30080-4076 -
Lasher, Susan
1260 Concord Rd Se Suite 105, Smyrna GA 30080-5306 -
Cook, Sharon Heidanus
1260 Concord Rd Se Suite 202, Smyrna GA 30080-5306 -
Darter, Mervin Leroy
2300 Lake Park Dr Se , Smyrna GA 30080-4076 -
Winship, Linda
1260 Concord Rd Suite 201, Smyrna GA 30080