Doctor Name: | RACHAEL COOKE |
NPI Number: | 1962871665 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPCC, NCC |
License Number: | |
Business Practice Address: | 100 W Colorado Blvd Suites 203-204 Telluride, CO - 81435 |
Business Phone Number: | 9704784118 |
Business Fax Number: | 9703691261 |
Mailing Address: | 899 Two Rivers Dr, TELLURIDE |
State: | CO |
Postal Code: | 814359152 |
Phone Number: | 8603092099 |
Fax Number: | |
NPI Enumeration Date: | 09/23/2015 |
NPI Last Update Date: | 11/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |