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Individual
MS. REBECCA JUANEICE COOK
Active
Individual
MS. REBECCA JUANEICE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1601070225
CA
171M00000X
Case Manager/Care Coordinator
Primary
R1601070225
CA
Other
Enumeration date
03/17/2025
Last updated
09/10/2026
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