Cassidy Cooke
Counselor, Mental Health in Medina, OH. Individual provider (NPI-1).
NPI number1629818331
StatusActive
Last updated in NPPESMay 30, 2024
Details
- NPI
- 1629818331
- Entity type
- Individual (NPI-1)
- Name
- Cassidy Cooke
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 30, 2024
- Certification date
- May 30, 2024
- Last updated
- May 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | C2405804-TRNE | OH | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CDCA-187783 | OH | |
| 390200000X | Student in an Organized Health Care Education/Training Program | C2405804-TRNE | OH |
Practice location
246 Northland Dr Ste 200aMedina, OH 44256-3440
Phone 330-725-9195
Mailing address
246 Northland Dr Ste 200aMedina, OH 44256-3440
Phone 330-725-9195
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