Provider Demographics
NPI:1023232717
Name:COOKE, DARREN STEVEN (LMFT)
Entity type:Individual
Prefix:MR
First Name:DARREN
Middle Name:STEVEN
Last Name:COOKE
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:MR
Other - First Name:DARREN
Other - Middle Name:
Other - Last Name:COOKE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:4576 E SHIELDS AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-7220
Mailing Address - Country:US
Mailing Address - Phone:559-579-0935
Mailing Address - Fax:
Practice Address - Street 1:4576 E SHIELDS AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-7220
Practice Address - Country:US
Practice Address - Phone:559-579-0935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT113311106H00000X
CAIMF70529106H00000X
CAR124030916101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist