person
Mr. Jesse R Cooksey, INTERN
Addiction (Substance Use Disorder) Counselor in Berkeley, California
NPI 1164760435

Jesse R Cooksey is an Addiction (Substance Use Disorder) Counselor based in Oakland, CA and is specialized in Addiction (Substance Use Disorder). Jesse R Cooksey practices in Berkeley, CA and has the professional credentials of INTERN. The NPI Number for Jesse R Cooksey is 1164760435 and holds a License No. (California).

The current practice location address for Jesse R Cooksey is 1931 Center St, Berkeley, CA and can be reached out via phone at 510-666-9552 and via fax at 510-666-0987.

Location: 1931 Center St, Berkeley, CA, 94601-1912
person
Provider Profile Details
NPI Number
1164760435
Provider Name
Jesse R Cooksey
Credential
INTERN
Provider Entity Type
Individual
Gender
Male
Address
1931 Center St, Berkeley, CA, 94601-1912
Phone Number
510-666-9552
Fax Number
510-666-0987
Provider Enumeration Date
01/22/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000 01 CA AC BHCS CLINICIAN # 00
institution
Provider Business Practice Location Address Details
Address
1931 Center St
City
State
Zip
94704-1105
Phone Number
510-666-9552
Fax Number
510-666-0987
person
Provider Business Mailing Address Details
Address
1931 Center St
City
State
Zip
94704-1105
Phone Number
510-666-9552
Fax Number
510-666-0987
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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