Randy Dale Cook, BS EDUCATION

Individual provider Active NPI Mental Health Counselor · Howe, OK

NPI 1992024855 · NPPES record last updated May 18, 2010

Key facts

NPI
1992024855
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1000 Meadow Lane
Howe, OK 74940
Phone
(918) 658-2189
NPI assigned
May 18, 2010
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

1000 Meadow Lane
Howe, OK 74940

Mailing address

PO Box 143
Fanshawe, OK 74935-0143
Phone (918) 635-5547

Other providers in Howe, OK

All providers in Howe, OK · Mental Health Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.