Individual
MARY COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3801 SCOTT AND WHITE DR, KILLEEN, TX 76543-5252
(254) 680-1100
Mailing address
PO BOX 847556, DALLAS, TX 75284-7556
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
66218
TX
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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