Provider Demographics
NPI:1114162252
Name:COOK, MELISSA HOOGENDAM (MA, LPC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:HOOGENDAM
Last Name:COOK
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 GESSNER RD STE 1560
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-4279
Mailing Address - Country:US
Mailing Address - Phone:713-504-9172
Mailing Address - Fax:
Practice Address - Street 1:820 GESSNER RD STE 1560
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-4279
Practice Address - Country:US
Practice Address - Phone:713-504-9172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62592101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor