Individual provider · Type 1 NPI
Vickie Cooke
Addiction (Substance Use Disorder) Counselor · Baltimore, MD
NPI number
1306203880
Active
Practice location
3806 Ravenwood Ave
Baltimore, MD 21213-2022
Mailing address
PO Box 3394
Baltimore, MD 21213-0394
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | SC1812 (MD) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCA3165 (MD) |
| Mental Health Counselor | 101YM0800X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1306203880
Vickie Cooke's National Provider Identifier is 1306203880, issued on Jan 28, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Baltimore, MD. The record was last updated on Jan 6, 2023.