Cook, Mike Nunan

Cook, Mike Nunan is an individual health care provider with primary practice located at 200 N Lincoln Ave , O Fallon IL 62269-1415. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Cook, Mike Nunan can be contacted via phone (618) 624-5771.

Contact Information

Primary practice address
200 N Lincoln Ave O Fallon IL 62269-1415
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 178.017026 Illinois

Profile Details

NPI number 1538822697
LBN Legal business name Cook, Mike Nunan
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2021
Last updated Oct 15th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538822697 NPPES
Illinois Other 1598939308 KARLA SMITH BEHAVIORAL HEALTH

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