Provider Demographics
NPI:1134298656
Name:COOK, RICHARD J (LMFT)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:J
Last Name:COOK
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 CADILLAC PL
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-4355
Mailing Address - Country:US
Mailing Address - Phone:775-827-7502
Mailing Address - Fax:775-827-7504
Practice Address - Street 1:177 CADILLAC PL
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-4355
Practice Address - Country:US
Practice Address - Phone:775-827-7502
Practice Address - Fax:775-827-7504
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0359106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist