Cook, Kenneth Bruce
Cook, Kenneth Bruce is an sole proprietor health care provider with primary practice located at 1260 Concord Rd Se Suite 202, Smyrna GA 30080-5306. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cook, Kenneth Bruce can be contacted via phone (770) 436-1879.Contact Information
Primary practice address
1260 Concord Rd Se Suite 202
Smyrna GA 30080-5306
Phone: (770) 436-1879
Fax: (770) 434-3005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW000292 | Georgia |
Profile Details
| NPI number | 1295777183 |
|---|---|
| LBN Legal business name | Cook, Kenneth Bruce |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1295777183 | NPPES |
| Georgia | Other | CSW000292 | LICENSED CLINICAL SOCIAL |
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