Provider Demographics
NPI:1174989222
Name:COOK, ARIANA ELIZABETH (LCPC-S)
Entity type:Individual
Prefix:MS
First Name:ARIANA
Middle Name:ELIZABETH
Last Name:COOK
Suffix:
Gender:F
Credentials:LCPC-S
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 42
Mailing Address - Street 2:
Mailing Address - City:BUCKEYSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21717-0042
Mailing Address - Country:US
Mailing Address - Phone:301-874-4701
Mailing Address - Fax:
Practice Address - Street 1:7902 FINGERBOARD RD
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-7629
Practice Address - Country:US
Practice Address - Phone:301-874-4701
Practice Address - Fax:301-881-7428
Is Sole Proprietor?:No
Enumeration Date:2016-01-05
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP5656101YP2500X
MDLC7063101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDLC7063OtherMARYLAND DEPARTMENT OF HEALTH