Individual provider · Type 1 NPI

Marty T. Cooke, LCPC

Mental Health Counselor · Pocatello, ID

NPI number 1831246594 Active

Practice location

500 S 11th Ave, Suite 302
Pocatello, ID 83201-4835

Call (208) 233-0150 Map

Fax (208) 233-0159

Mailing address

PO Box 4986
Pocatello, ID 83205-4986

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCPC3448 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1831246594

Marty T. Cooke, LCPC's National Provider Identifier is 1831246594, issued on Jan 4, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pocatello, ID. The record was last updated on Jul 8, 2007.