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NPI Code Detail

MEDICARE: DR. MICHELLE MARIE COOK EDD, LMFT, RPT-S

MEDICARE: DR. MICHELLE MARIE COOK EDD, LMFT, RPT-S
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
1171M00000XCase Manager/Care CoordinatorCA
2101Y00000XCounselor99275CA
3172V00000XCommunity Health WorkerCA
4101YM0800XMental Health Counselor99275CA
5106H00000XMarriage & Family Therapist99275CA

General Provider Information

NPI Number : 1932512373
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELLE MARIE COOK EDD, LMFT, RPT-S
Provider Business Mailing Address
First Line : PO BOX 952
Second Line :
City : ROSEVILLE
State : CA
Zip : 95661-0952
Country : US
Telephone Number : 858-882-7029
Fax Number :
Provider Business Practice Location Address
First Line : 8391 AUBURN BLVD
Second Line :
City : CITRUS HEIGHTS
State : CA
Zip : 95610-0364
Country : US
Telephone Number : 916-923-5444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2014
Last Update Date : 05/06/2026

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