Tereia Sidden Cook, LPC, LCAS, CCS
Counselor, Addiction (Substance Use Disorder) in Mount Airy, NC. Individual provider (NPI-1).
NPI number1720161136
StatusActive
Last updated in NPPESMay 21, 2013
Details
- NPI
- 1720161136
- Entity type
- Individual (NPI-1)
- Name
- Ms. Tereia Sidden Cook
- Credential
- LPC, LCAS, CCS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2006
- Last updated
- May 21, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | LCAS #470 | NC | Yes |
| 101YM0800X | Counselor, Mental Health | LPC #3746 | NC |
Practice location
107 W Independence BlvdSuite 200
Mount Airy, NC 27030-3589
Phone 336-786-5855
Mailing address
107 W Independence BlvdSuite 200
Mount Airy, NC 27030-3589
Phone 336-786-5855
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All 11 Addiction (Substance Use Disorder) Counselor providers in Mount Airy · All 681 providers in Mount Airy
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