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NPI Code Detail

MEDICARE: DEBRA R COOKE MA, MED, LPC, NCC

MEDICARE: DEBRA R COOKE MA, MED, LPC, NCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorPC013825PA
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1386168235
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA R COOKE MA, MED, LPC, NCC
Provider Business Mailing Address
First Line : 122 LOCKHEED DR
Second Line :
City : CORAOPOLIS
State : PA
Zip : 15108-2406
Country : US
Telephone Number : 304-906-1556
Fax Number :
Provider Business Practice Location Address
First Line : 307 4TH AVE STE 901
Second Line :
City : PITTSBURGH
State : PA
Zip : 15222-2113
Country : US
Telephone Number : 412-668-1226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2017
Last Update Date : 01/14/2022

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