Individual
MS. DONNA COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2954 BUFFALO CREEK RD, CHATTAROY, WV 25667
(304) 235-2954
Mailing address
PO BOX 176, LOGAN, WV 25601-0176
(304) 792-7130
(304) 792-7138
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
808
WV
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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