Joshua Cooke, M.S. LPC NCC QSUDP

NPI 1316344625 · on the registry since 2014

Practice

Address: 215 University Dr
Gooding, ID 83330
Phone: (801) 934-5880
Organisation at this address: Pro Active Advantage, Llc
Pro Active Advantage, Llc
Pro Active Advantage, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-12-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho