Individual
MR. DALE EARL COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDPT
Contact information
Practice address
518 S BROWNE ST, SPOKANE, WA 99204-2315
(509) 456-5465
(509) 456-5465
Mailing address
PO BOX 4627, SPOKANE, WA 99220-0627
(509) 456-5465
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60653009
WA
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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