person
Marty T. Cooke, LCPC
Mental Health Counselor in Pocatello, Idaho
NPI 1831246594

Marty T. Cooke is a Mental Health Counselor based in Pocatello, ID and is specialized in Mental Health. Marty T. Cooke practices in Pocatello, ID and has the professional credentials of LCPC. The NPI Number for Marty T. Cooke is 1831246594 and holds a License No. LCPC3448 (Idaho).

The current practice location address for Marty T. Cooke is 500 S 11Th Ave, Pocatello, ID and can be reached out via phone at 208-233-0150 and via fax at 208-233-0159.

Location: 500 S 11Th Ave, Pocatello, ID, 83205-4986
person
Provider Profile Details
NPI Number
1831246594
Provider Name
Marty T. Cooke
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
500 S 11Th Ave, Pocatello, ID, 83205-4986
Phone Number
208-233-0150
Fax Number
208-233-0159
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
500 S 11Th Ave
City
State
Zip
83201-4835
Phone Number
208-233-0150
Fax Number
208-233-0159
person
Provider Business Mailing Address Details
Address
500 S 11Th Ave
City
State
Zip
83201-4835
Phone Number
208-233-0150
Fax Number
208-233-0159
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCPC3448 (Idaho)
Definition
Definition to come...
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