Mr. Stephen Bradley Cook
School Counselor Addiction Counselor (Substance Use Disorder)
2404 Wise Rd
Conway
, South Carolina 29526-5521
Mr. Stephen Bradley Cook
School Counselor Addiction Counselor (Substance Use Disorder)
2404 Wise Rd
Conway
, South Carolina 29526-5521
(843) 365-8884
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
- School Counselor
Languages spoken
- English
Location
First Address
- Mr. Stephen Bradley Cook
- 2404 Wise Rd
- Conway, SC
- Zip : 29526-5521
- Phone : (843) 365-8884
Second Address
- Mr. Stephen Bradley Cook
- 2404 Wise Rd
- Conway, SC
- Zip : 29526-5521
- Phone : (843) 365-8884
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
| N | 101YS0200X | School Counselor | PPS-0601472 | VA |
National Provider Identifier
| NPI | 1023283520 |
|---|---|
| Provider Name | Mr. Stephen Bradley Cook |
| First Address | Conway, SC 29526-5521 |
| Second Address | Conway, SC 29526-5521 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/04/2008 |
| Last Update Date | 01/02/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.