Individual
CYNTHIA IRENE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
480 CHADBOURNE RD, FAIRFIELD, CA 94534-9639
(510) 317-1444
Mailing address
1234 EMPIRE ST, FAIRFIELD, CA 94533-5711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
05/05/2025
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