Provider Demographics
NPI:1962871665
Name:COOKE, RACHAEL (MA, LPC, NCC)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:
Last Name:COOKE
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:899 TWO RIVERS DR
Mailing Address - Street 2:
Mailing Address - City:TELLURIDE
Mailing Address - State:CO
Mailing Address - Zip Code:81435-9152
Mailing Address - Country:US
Mailing Address - Phone:860-309-2099
Mailing Address - Fax:
Practice Address - Street 1:899 TWO RIVERS DR
Practice Address - Street 2:
Practice Address - City:TELLURIDE
Practice Address - State:CO
Practice Address - Zip Code:81435-9152
Practice Address - Country:US
Practice Address - Phone:860-309-2099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-23
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
COLPC.0013839101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health