| Kim Cooke Counseling Llc | |
|
353 Cornell St Roslindale MA 02131-2832 | |
| (617) 861-3070 | |
| Not Available |
| Full Name | Kim Cooke Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 353 Cornell St, Roslindale, Massachusetts |
| Authorized Official Name and Position | Kimberly L Cooke (OWNER) |
| Authorized Official Contact | 6178613070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Cooke Counseling Llc 353 Cornell St Roslindale MA 02131-2832 Ph: (617) 861-3070 | Kim Cooke Counseling Llc 353 Cornell St Roslindale MA 02131-2832 Ph: (617) 861-3070 |
| NPI Number | 1447021837 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 01/15/2024 |
| Certification Date | 01/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447021837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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