Organization
SECOND WIND PROFESSIONAL CLINICAL COUNSELOR INC
Active
Other names
Second Wind Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA COOK LPCC, NCC, MS, (CLINICAL DIRECTOR)
(530) 966-8144
Entity
Organization
Contact information
Practice address
401 BOYD ST, VACAVILLE, CA 95688-4521
(530) 966-8144
Mailing address
401 BOYD ST, VACAVILLE, CA 95688-4521
(530) 966-8144
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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