Provider Demographics
NPI:1093899841
Name:COOK, JANYCE IRENE (LPC)
Entity Type:Individual
Prefix:
First Name:JANYCE
Middle Name:IRENE
Last Name:COOK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14201 E 4TH AVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-8748
Mailing Address - Country:US
Mailing Address - Phone:303-360-0900
Mailing Address - Fax:303-360-0906
Practice Address - Street 1:14201 E 4TH AVE
Practice Address - Street 2:SUITE 130
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-8748
Practice Address - Country:US
Practice Address - Phone:303-360-0900
Practice Address - Fax:303-360-0906
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2029101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional