Organization
COOK BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORIE SUE COOK LCSW, ACSW (CLINICAL ADMINISTRATOR)
(208) 461-3720
Entity
Organization
Contact information
Practice address
123 MCCLURE AVENUE, NAMPA, ID 83701
(208) 461-3720
Mailing address
P.O. BOX 2775, BOISE, ID 83701
(208) 461-3720
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW-29576
ID
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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