Individual
ALYSSA MARIAN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1014 W HEMINGWAY BLVD, NAMPA, ID 83651-1733
(208) 991-4262
Mailing address
10135 IRONGATE DR, NAMPA, ID 83687-7920
(208) 509-3773
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-10124
ID
Other
Enumeration date
01/15/2024
Last updated
04/02/2024
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