Individual
CAMILLE COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
430 F. STREET, CHULA VISTA, CA 91910
(619) 420-3620
Mailing address
430 F ST, CHULA VISTA, CA 91910-3711
(619) 420-3620
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
78608
CA
Other
Enumeration date
08/08/2017
Last updated
07/21/2022
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