Individual
CONNIE COOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 B ST, SUITE 1570, SAN DIEGO, CA 92101-4520
(619) 615-0439
(619) 615-3197
Mailing address
600 B ST, SUITE 1570, SAN DIEGO, CA 92101-4520
(619) 615-0439
(619) 615-3197
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
23662
CA
Other
Enumeration date
11/06/2007
Last updated
07/07/2011
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