Individual provider · Type 1 NPI

Cassidy Cooke

Mental Health Counselor · Medina, OH

NPI number 1629818331 Active

Practice location

246 Northland Dr Ste 200A
Medina, OH 44256-3440

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCDCA-187783 (OH)
Student in an Organized Health Care Education/Training Program 390200000XC2405804-TRNE (OH)
Mental Health Counselor Primary 101YM0800XC2405804-TRNE (OH)

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About NPI 1629818331

Cassidy Cooke's National Provider Identifier is 1629818331, issued on May 30, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medina, OH. The record was last updated on May 30, 2024.