Individual provider · Type 1 NPI

Kristen Wayman Cooke, LMHC

Mental Health Counselor · Ithaca, NY

NPI number 1952603417 Active

Practice location

127 W State St
Ithaca, NY 14850-5474

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0000105 (NY)

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About NPI 1952603417

Kristen Wayman Cooke, LMHC's National Provider Identifier is 1952603417, issued on Dec 3, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ithaca, NY. The record was last updated on Dec 3, 2010.