Provider Demographics
NPI:1851141774
Name:COOK, VERONICA (LCMHC)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:COOK
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:
Other - Last Name:COOK-VILBRIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:364 MARVIN RD
Mailing Address - Street 2:
Mailing Address - City:RICHFORD
Mailing Address - State:VT
Mailing Address - Zip Code:05476-9568
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:364 MARVIN RD
Practice Address - Street 2:
Practice Address - City:RICHFORD
Practice Address - State:VT
Practice Address - Zip Code:05476-9568
Practice Address - Country:US
Practice Address - Phone:802-347-4026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-25
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0135506101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health