Individual
KRISTINA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.; LPCC; NCC
Contact information
Practice address
1460 MARIA LN STE 300, WALNUT CREEK, CA 94596-5314
(530) 966-8144
Mailing address
PO BOX 5722, VACAVILLE, CA 95696-5722
(530) 966-8144
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPCC12719
CA
101YM0800X
Mental Health Counselor
LPCC12719
CA
101YP2500X
Professional Counselor
Primary
LPCC12719
CA
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
10/05/2019
Last updated
03/14/2023
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