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Individual

DEBRA R COOKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, MED, LPC, NCC

Contact information

Practice address
307 4TH AVE STE 901, PITTSBURGH, PA 15222-2113
(412) 668-1226
Mailing address
122 LOCKHEED DR, CORAOPOLIS, PA 15108-2406
(304) 906-1556

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor
PC013825
PA

Other

Enumeration date
08/02/2017
Last updated
01/14/2022
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