Individual
MELINDA ELLEN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, SA
Contact information
Practice address
312 MILLER ST, LEWISTON, ID 83501-1944
(208) 750-1802
(208) 750-1803
Mailing address
312 MILLER ST, LEWISTON, ID 83501-1944
(208) 750-1802
(208) 750-1803
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
42658
ID
101YM0800X
Mental Health Counselor
61660674
WA
101YM0800X
Mental Health Counselor
Primary
8911141
ID
Other
Enumeration date
09/15/2022
Last updated
05/13/2025
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