Provider Demographics
NPI:1235419979
Name:JONES-COOK, MEACHEAL DALE (MA, LLPC)
Entity Type:Individual
Prefix:MRS
First Name:MEACHEAL
Middle Name:DALE
Last Name:JONES-COOK
Suffix:
Gender:F
Credentials:MA, LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8275 MINOCK ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48228-3036
Mailing Address - Country:US
Mailing Address - Phone:313-617-3935
Mailing Address - Fax:
Practice Address - Street 1:8275 MINOCK ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48228-3036
Practice Address - Country:US
Practice Address - Phone:313-617-3935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401012265101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health