National Provider Identifier
Kristen Wayman Cooke, LMHC
Kristen Wayman Cooke, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Ithaca, NY and a listed phone number of (607) 273-7494.
Profile Overview
- NPI
- 1952603417
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- December 03, 2010
- Last Updated
- December 03, 2010
Practice Location
- 127 W State St
- Ithaca, NY 14850-5474
Phone: (607) 273-7494
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1952603417
- Entity Type
- Individual
- Last Name
- Cooke
- First Name
- Kristen
- Middle Name
- Wayman
- Name Prefix
- Mrs.
- Credential
- LMHC
- Mailing Street Address
- 127 W State St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5474
- Mailing Country
- US
- Mailing Phone
- (607) 273-7494
- Practice Street Address
- 127 W State St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5474
- Practice Country
- US
- Practice Phone
- (607) 273-7494
- Enumeration Date
- December 03, 2010
- Last Updated
- December 03, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)