Individual
MR. MATTHEW COOKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC, LADC, LPC
Contact information
Practice address
151 S 4TH ST, GRAND FORKS, ND 58201-4715
(701) 795-3000
Mailing address
151 S 4TH ST, GRAND FORKS, ND 58201-4715
(701) 795-3000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1930
ND
101YA0400X
Addiction (Substance Use Disorder) Counselor
305109
MN
101YP2500X
Professional Counselor
03076
MN
Other
Enumeration date
12/29/2020
Last updated
06/09/2025
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