Provider Demographics
NPI:1144950734
Name:COOK, ROCKFORD LEE (MA, LPCC)
Entity type:Individual
Prefix:
First Name:ROCKFORD
Middle Name:LEE
Last Name:COOK
Suffix:
Gender:M
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 421
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:KY
Mailing Address - Zip Code:42256-0421
Mailing Address - Country:US
Mailing Address - Phone:270-799-8096
Mailing Address - Fax:270-641-0857
Practice Address - Street 1:1215 HIGH ST
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-2541
Practice Address - Country:US
Practice Address - Phone:270-782-1116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY245602101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional