Cooke, Tina Marie

Cooke, Tina Marie is an sole proprietor health care provider with primary practice located at 2460 Delaney Ave , Wilmington NC 28403-6062. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Cooke, Tina Marie can be contacted via phone (910) 407-9473.

Contact Information

Primary practice address
2460 Delaney Ave Wilmington NC 28403-6062
Phone: (910) 407-9473
Fax: (910) 312-3632
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00148000 New Jersey
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37PC00016200 New Jersey
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00016200 New Jersey
Behavioral Health & Social Service Providers / Professional 101YP2500X 15690 North Carolina

Profile Details

NPI number 1437201399
LBN Legal business name Cooke, Tina Marie
Credentials LPC, LCADC, LCMHC-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Nov 28th, 2023 - about 2 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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