Provider Demographics
NPI:1609940170
Name:HARRINGTON BOCOOK, NADA ANN (MSW, LMFT, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:NADA
Middle Name:ANN
Last Name:HARRINGTON BOCOOK
Suffix:
Gender:F
Credentials:MSW, LMFT, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 BATH AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-7555
Mailing Address - Country:US
Mailing Address - Phone:606-325-7400
Mailing Address - Fax:606-834-9808
Practice Address - Street 1:1200 BATH AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-7555
Practice Address - Country:US
Practice Address - Phone:606-325-7400
Practice Address - Fax:606-834-9808
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4231041C0700X
OH1-00055801041C0700X
KY0382106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist