Provider Information for 1821056532
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Mr. PRICE MARTIN COOK LMFT
Other Names:Professional Name:Mr. PRICE COOK LMFTSex: Male
NPI: 1821056532
Last Updated: 2021-02-27
Certification Date: 2021-02-27
Certification Date: 2021-02-27
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1821056532 | ||||||||
| Enumeration Date | 2006-05-02 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 7304 10TH ST SE STE B201 LAKE STEVENS, WA 98258-3690 United States Phone: 425-286-7291 | Fax: | ||||||||
| Primary Practice Address | 7304 10TH ST SE STE B201 LAKE STEVENS, WA 98258-3690 United States Phone: 425-286-7291 | Fax: | ||||||||
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