MARTY T. COOKE

POCATELLO, ID
NPI1831246594
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LCPC3448)
Enumeration Date2007-01-04
Last Update Date2007-07-08
Business Address
-- MARTY T. COOKE LCPC
500 S 11TH AVE SUITE 302
POCATELLO, ID 83201-4835
Phone number: 208-233-0150
Mailing Address
-- MARTY T. COOKE LCPC
PO BOX 4986
POCATELLO, ID 83205-4986
Phone number: 208-233-0150
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