Provider Demographics
NPI:1851994347
Name:FRANCO-COOK, ANDREA GUADALUPE (LCSW)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:GUADALUPE
Last Name:FRANCO-COOK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 W LAKEWAY RD
Mailing Address - Street 2:SUITE 311
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82718
Mailing Address - Country:US
Mailing Address - Phone:307-363-5938
Mailing Address - Fax:
Practice Address - Street 1:201 W LAKEWAY RD
Practice Address - Street 2:SUITE 311
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82718
Practice Address - Country:US
Practice Address - Phone:307-363-5938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-18
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2583281041C0700X
WYLCSW15681041C0700X
WYPCSW-9361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty