Individual
CHASE YVONNE COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
135 GOLD STAR BLVD FL 2, WORCESTER, MA 01606-2738
(508) 571-1617
Mailing address
135 GOLD STAR BLVD FL 2, WORCESTER, MA 01606-2738
(508) 571-1617
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
07/30/2026
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