Doctor Name: | MS. APRIL MICHELLE COOK |
NPI Number: | 1346683828 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RS8068 |
Business Practice Address: | 2704 Spring Valley Rd Clearlake Oaks, CA - 954239513 |
Business Phone Number: | 7072954469 |
Business Fax Number: | |
Mailing Address: | 2704 Spring Valley Rd, CLEARLAKE OAKS |
State: | CA |
Postal Code: | 954239513 |
Phone Number: | 7072954469 |
Fax Number: | |
NPI Enumeration Date: | 04/15/2013 |
NPI Last Update Date: | 04/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | RS8068 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |