Provider Demographics
NPI:1225483977
Name:COOK, ELIZABETH A (LPC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:COOK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:A
Other - Last Name:ALTENBERN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:N3682 COUNTY RD W
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:WI
Mailing Address - Zip Code:54961-8811
Mailing Address - Country:US
Mailing Address - Phone:920-600-8055
Mailing Address - Fax:920-389-8050
Practice Address - Street 1:N3682 COUNTY RD W
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:WI
Practice Address - Zip Code:54961-8811
Practice Address - Country:US
Practice Address - Phone:920-600-8055
Practice Address - Fax:920-389-8050
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-02
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.009815101YP2500X
WI6005101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional