Provider Demographics
NPI:1538320957
Name:COHEN, JUDY D (RNC RC)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:D
Last Name:COHEN
Suffix:
Gender:F
Credentials:RNC RC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 W 7TH AVE # 240
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2806
Mailing Address - Country:US
Mailing Address - Phone:509-747-7350
Mailing Address - Fax:509-532-1332
Practice Address - Street 1:703 W 7TH AVE # 240
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2806
Practice Address - Country:US
Practice Address - Phone:509-747-7350
Practice Address - Fax:509-532-1332
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00021434101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health