Jerry Alan Cooke in Santa Fe - Addiction (substance Use Disorder)
Jerry Alan Cooke - NPI 1033284229
Jerry Alan Cooke is a Addiction (substance Use Disorder) in Santa Fe, New Mexico. Jerry Alan Cooke practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jerry Alan Cooke is 1033284229. The last update date is 2013-03-21.
Jerry Alan Cooke's current location address is 1482b S St Francis Dr, Santa Fe, New Mexico. You can contact this provider via phone number 5059833676. The mailing address for Jerry Alan Cooke is 1482b S St Francis Dr, Santa Fe, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Alan Cooke |
|---|---|
| Address | 1482b S St Francis Dr, Santa Fe, New Mexico |
| Phone Number | 5059833676 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LISW LADC |
NPI Number Detail
| NPI Number | 1033284229 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2013-03-21 |
Provider Mailing Address Detail
| Address | 1482b S St Francis Dr |
|---|---|
| City | Santa Fe |
| State | New Mexico (NM) |
| Post Code | 875054098 |
| Phone Number | 5059833676 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 348 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Q6658 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jerry Alan Cooke by the Centers for Medicare & Medicaid Services?
The Jerry Alan Cooke has been assigned the NPI (National Provider Identifier) 1033284229 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jerry Alan Cooke?
The Jerry Alan Cooke is situated at 1482B S St Francis Dr, in the city of Santa Fe, state of NM, with the zip code 875054098.
What is Jerry Alan Cooke's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jerry Alan Cooke's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1033284229 to Jerry Alan Cooke?
The Centers for Medicare & Medicaid Services originally issued the 1033284229 to Jerry Alan Cooke on 2006-11-22.
As of what date were the Jerry Alan Cooke's details last updated?
The information pertaining to the Jerry Alan Cooke, including its address, specialty, and other details, was most recently updated on 2013-03-21.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA