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Individual

MRS. CATHERINE Y COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHP, LADC

Contact information

Practice address
3525 EVANS STREET, OMAHA, NE 68104
(402) 510-3643
(402) 991-8162
Mailing address
3525 EVANS STREET, OMAHA, NE 68111
(402) 510-3643
(402) 991-3948

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
843
NE
101YM0800X
Mental Health Counselor
Primary
3416
NE
101YM0800X
Mental Health Counselor
7375
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025018500
NE
Enumeration date
01/09/2007
Last updated
08/17/2011
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