Individual
MELISSA R COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6611 E CENTRAL AVE STE C, WICHITA, KS 67206-1937
(316) 867-9852
Mailing address
14601 E HAWTHORNE CT, WICHITA, KS 67230-9646
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5359
KS
104100000X
Social Worker
5359
KS
171M00000X
Case Manager/Care Coordinator
5359
KS
Other
Enumeration date
08/15/2023
Last updated
03/24/2026
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