Individual
MATTHEW DAVID COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
2323 AVENUE J E, OMAHA, NE 68110-2765
(402) 522-7131
Mailing address
5113 N 103RD ST, OMAHA, NE 68134-2509
(402) 968-3826
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10246
NE
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/20/2014
Last updated
03/17/2018
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