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NPI Code Detail

MEDICARE: CRISTEN COOK

MEDICARE: CRISTEN COOK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1326494345
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRISTEN COOK
Provider Business Mailing Address
First Line : 13590 WEST DR UNIT A
Second Line :
City : DESERT HOT SPRINGS
State : CA
Zip : 92240-5651
Country : US
Telephone Number : 760-577-2947
Fax Number :
Provider Business Practice Location Address
First Line : 13525 CIELO AZUL WAY
Second Line :
City : DESERT HOT SPRINGS
State : CA
Zip : 92240-6235
Country : US
Telephone Number : 760-329-4673
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2016
Last Update Date : 04/02/2026

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Directions to “ CRISTEN COOK ” Practice Location

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