Provider Demographics
NPI:1144412313
Name:COOK, LAURA KATHRYN (MA)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:KATHRYN
Last Name:COOK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:845 CHURCH ST N
Mailing Address - Street 2:305
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-4300
Mailing Address - Country:US
Mailing Address - Phone:704-262-1320
Mailing Address - Fax:704-262-1322
Practice Address - Street 1:845 CHURCH ST N
Practice Address - Street 2:305
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-4300
Practice Address - Country:US
Practice Address - Phone:704-262-1320
Practice Address - Fax:704-262-1322
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health