Trudala Jovaun Cooks | Las Vegas, NV • PECOS Search

Trudala Jovaun Cooks

Counselor

Behavioral Health & Social Service Providers

601 S Rancho Dr Ste A10, Las Vegas, NV 89106-4898

(702) 437-4673 (541) 513-7527

PECOS Enrollment

Based on the most recent information from CMS, provider Trudala Jovaun Cooks does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1790545127
Provider Type
Individual
Full Name
Cooks, Trudala Jovaun
Gender
Female

Sole Proprietor
No
Enumeration Date
3/21/2024
Last Updated
3/21/2024

Contact Information

Practice Location

601 S Rancho Dr Ste A10, Las Vegas, NV 89106-4898

(702) 438-4673

Mailing Location

6728 Wenatchee Dr, Las Vegas, NV 89107-3352

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer