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DR. GRACE COOK PH.D., M.F. T.

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1568568566

Individual Registrant:
DR. GRACE  COOK PH.D., M.F. T.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
162 GROVE ST STE J  BISHOP, CA 93514-2652 US
Tel: 760-873-6533  Fax: 760-873-3277

Contact information for business:
PO BOX 7037  MAMMOTH LAKES, CA 93546-7037 US
Tel: --  Fax: --

Registration Information:
NPI: 1568568566
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAMFT23746

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MARIAGE & FAMILY THERAPISMFT23746CA01




HEALTH CARE JOBS CA - Page 1



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