Individual
JOSHUA D COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. LPC NCC QSUDP
Contact information
Practice address
215 UNIVERSITY DR, GOODING, ID 83330-6155
(801) 934-5880
Mailing address
215 UNIVERSITY DR, GOODING, ID 83330-6155
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-5654
ID
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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