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NPI Code Detail

MEDICARE: KATHARINE ELIZABETH COOKE MA LMHC CDP

MEDICARE:   KATHARINE ELIZABETH COOKE  MA LMHC CDP
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
1101YA0400XAddiction (Substance Use Disorder) CounselorRC00028705WA
2101YM0800XMental Health CounselorLH00010378WA

General Provider Information

NPI Number : 1902989346
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHARINE ELIZABETH COOKE MA LMHC CDP
Provider Business Mailing Address
First Line : 2724 S ELMWOOD PL
Second Line :
City : SEATTLE
State : WA
Zip : 98144
Country : US
Telephone Number : 206-910-4384
Fax Number :
Provider Business Practice Location Address
First Line : 1116 SUMMIT AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98101-2831
Country : US
Telephone Number : 206-910-4384
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2006
Last Update Date : 04/02/2012

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Directions to “ KATHARINE ELIZABETH COOKE MA LMHC CDP” Practice Location

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