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Christopher D. Cook, LICDC

Counselor, Addiction (Substance Use Disorder) in Fairfield, OH. Individual provider (NPI-1).

NPI number1417469172
StatusActive
Last updated in NPPESJun 4, 2026

Details

NPI
1417469172
Entity type
Individual (NPI-1)
Name
Mr. Christopher D. Cook
Credential
LICDC
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 2, 2017
Certification date
Jun 4, 2026
Last updated
Jun 4, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)LICDC.162504OHYes

Practice location

5108 Sandy Ln
Fairfield, OH 45014-2738

Phone 833-510-4357

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other practice locations

5439 Burkhardt Rd
Dayton, OH 45431-2111

Phone 740-918-9616

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