Healthcare Provider Details

I. General information

NPI: 1770925943
Provider Name (Legal Business Name): KARA BROOKE COOKE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2013
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19320 E ADMIRAL PL STE B
CATOOSA OK
74015-3240
US

IV. Provider business mailing address

19493 PECAN RIDGE LN
CLAREMORE OK
74017-2862
US

V. Phone/Fax

Practice location:
  • Phone: 918-340-5503
  • Fax:
Mailing address:
  • Phone: 918-557-7660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: