Individual
ALEXANDER JONATHAN MARK COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
592 RIO LINDO AVE, CHICO, CA 95926-1817
(530) 891-2775
Mailing address
465 CALIFORNIA ST, GRIDLEY, CA 95948-2811
(530) 570-6934
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/17/2020
Last updated
10/17/2020
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