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LYNDSEY IRENE COOK CADTP #9868

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1235762402

Individual Registrant:
 LYNDSEY IRENE COOK CADTP #9868
Gender: F
Not Sole Proprietor

Location and contact information for practice:
14715 EAST HIGHWAY 20  CLEARLAKE OAKS, CA 95423 US
Tel: 707-530-5268  Fax: 707-998-0122

Contact information for business:
PO BOX 366  CLEARLAKE OAKS, CA 95423-0366 US
Tel: 707-998-1800  Fax: 707-998-0122

Registration Information:
NPI: 1235762402
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
CA9868

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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