Cooke, Jill
Cooke, Jill is an individual health care provider with primary practice located at 180 Academy St Ste 2 , Presque Isle ME 04769-3183. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Cooke, Jill can be contacted via phone (207) 764-3319.Contact Information
Primary practice address
180 Academy St Ste 2
Presque Isle ME 04769-3183
Phone: (207) 764-3319
Fax: (207) 768-5377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1205383189 |
|---|---|
| LBN Legal business name | Cooke, Jill |
| Credentials | MHRT-CSP/MHRT-1 |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2016 |
| Last updated | Feb 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205383189 | NPPES |
| Maine | MEDICAID | 1205383189 |
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