John Cook

Individual provider Active NPI Case Manager/Care Coordinator · Leesville, LA

NPI 1700319928 · NPPES record last updated Aug 14, 2018

Key facts

NPI
1700319928
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
103 N 5TH St
Leesville, LA 71446
Phone
(337) 238-4350
Fax
(337) 238-4352
NPI assigned
Apr 5, 2017
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

103 N 5TH St
Leesville, LA 71446

Mailing address

2525 Youree Dr
Suite 110
Shreveport, LA 71104-3671
Phone (318) 675-0804

Other providers in Leesville, LA

All providers in Leesville, LA · Case Manager/Care Coordinator in Louisiana

Sources for this page

Verify at the official NPI Registry.