Cooke, Diana L

Cooke, Diana L is an individual health care provider with primary practice located at 39 1/2 Wedgewood Dr Ste 1023 , Jewett City CT 06351-2439. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Cooke, Diana L can be contacted via phone (860) 497-0024.

Contact Information

Primary practice address
39 1/2 Wedgewood Dr Ste 1023 Jewett City CT 06351-2439
Phone: (860) 497-0024
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 185 New Hampshire
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 002526 Connecticut

Profile Details

NPI number 1487908240
LBN Legal business name Cooke, Diana L
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2012
Last updated Feb 23rd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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