Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JIMMY JOE COOK JR., LADAC
ActiveJIMMY JOE COOK JR., LADAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in GALLATIN, Tennessee. NPI 1457940488 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · GALLATIN, TN
Registration Details
- NPI Number
- 1457940488
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 14, 2021 (5.6262206393725 yrs)
- Last Updated
- Jan 14, 2021
- License
-
LDC0000001405 (TN)
Practice Information
- Address
-
132 S WATER AVEGALLATIN, TN, 370662903Browse TN providers · Browse ZIP 37066
- Phone
- 6154618597
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.