Provider Demographics
NPI:1134510423
Name:COOK, AARON (LMFT)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:
Last Name:COOK
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 186
Mailing Address - Street 2:
Mailing Address - City:OAKLAND CITY
Mailing Address - State:IN
Mailing Address - Zip Code:47660-0186
Mailing Address - Country:US
Mailing Address - Phone:812-789-5434
Mailing Address - Fax:812-789-2458
Practice Address - Street 1:5659 S SR 61
Practice Address - Street 2:
Practice Address - City:WINSLOW
Practice Address - State:IN
Practice Address - Zip Code:47598-0406
Practice Address - Country:US
Practice Address - Phone:812-789-5434
Practice Address - Fax:812-789-2458
Is Sole Proprietor?:No
Enumeration Date:2015-02-09
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35001850A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist