MR. Jerry Alan Cooke, LISW LADC
NPI #1033284229 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1033284229
- Entity Type
- Individual
- Name
- MR. Jerry Alan Cooke, LISW LADC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Credential
- LISW LADC
- Enumeration Date
- Nov 22, 2006
- Last Updated
- Mar 21, 2013
Practice Location
- Address
- 1482B S ST FRANCIS DR
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87505-4098
- Phone
- (505) 983-3676
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Social Worker |
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