Ethan Cooke

NPI #1013629823 in Bethel, Alaska

Provider Information

NPI Number: 1013629823
Entity Type: Individual
Name: Ethan Cooke
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Dec 23, 2022
Last Updated: Dec 23, 2022

Practice Location

Address: 700 CHIEF EDDIE HOFFMAN HWY
City: Bethel
State: Alaska
ZIP Code: 99559
Phone: (907) 543-6452

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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