Provider Demographics
NPI:1841212263
Name:COOK, MARGARET KERR (LPC, LSATP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:KERR
Last Name:COOK
Suffix:
Gender:F
Credentials:LPC, LSATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13604 CLARY SAGE DR
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20151-3367
Mailing Address - Country:US
Mailing Address - Phone:703-909-8497
Mailing Address - Fax:
Practice Address - Street 1:13604 CLARY SAGE DR
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-3367
Practice Address - Country:US
Practice Address - Phone:703-909-8497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002107101Y00000X, 101YP2500X
101YA0400X
VA0718000060101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)