Individual
AUTUMN MICHELLE ALCORN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDRC
Contact information
Practice address
550 W WASHINGTON AVE, ESCONDIDO, CA 92025-1643
(760) 489-6380
(760) 294-7022
Mailing address
24547 MALBEC ST, MURRIETA, CA 92562-5709
(951) 813-7754
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14261
CA
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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