Individual
HILLARY DAWN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6126 W STATE ST # 202, BOISE, ID 83703-2741
(208) 391-2957
Mailing address
6632 W TOBI DR, BOISE, ID 83714-6100
(208) 703-2931
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-6772
ID
101YM0800X
Mental Health Counselor
LPC-6772
ID
101YP2500X
Professional Counselor
LPC-6772
ID
Other
Enumeration date
02/02/2018
Last updated
04/23/2018
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