Individual
KELSI COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 W 8TH AVE STE 418C, SPOKANE, WA 99204-2318
(509) 474-6920
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
10-3K00000X
WA
103T00000X
Psychologist
Primary
PY61358035
WA
103T00000X
Psychologist
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Other
Enumeration date
03/05/2015
Last updated
06/30/2023
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