Individual
MS. JANE ELLEN COOKE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
595 BETHLEHEM PIKE, SUITE 201, MONTGOMERYVILLE, PA 18936-9710
(610) 970-5234
(610) 979-0945
Mailing address
107 HARDWOOD CT, CHALFONT, PA 18914-2035
(610) 970-5234
(610) 970-0945
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CW014098
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CW014098
SOCIAL WORK LICENSE
PA
Enumeration date
03/25/2006
Last updated
07/08/2007
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