Cook, Jennifer Liane
Cook, Jennifer Liane is an individual health care provider with primary practice located at 2320 Rio Grande Blvd. Se Suite D, Rio Rancho NM 87124. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Cook, Jennifer Liane can be contacted via phone (505) 219-1125.Contact Information
Primary practice address
2320 Rio Grande Blvd. Se Suite D
Rio Rancho NM 87124
Phone: (505) 219-1125
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | CCMH0180961 | New Mexico |
| Behavioral Health & Social Service Providers / School | 101YS0200X |
Profile Details
| NPI number | 1427243542 |
|---|---|
| LBN Legal business name | Cook, Jennifer Liane |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2007 |
| Last updated | Feb 6th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427243542 | NPPES |
| New Mexico | MEDICAID | 59652314 |
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