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NPI Code Detail

MEDICARE: TRISTAN JAMES COOK

MEDICARE: TRISTAN JAMES 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
1101Y00000XCounselor
2101YP2500XProfessional Counselor9658CA

General Provider Information

NPI Number : 1851773519
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRISTAN JAMES COOK
Provider Business Mailing Address
First Line : 3800 COOLIDGE AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94602-3311
Country : US
Telephone Number : 510-448-2244
Fax Number :
Provider Business Practice Location Address
First Line : 3800 COOLIDGE AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94602-3399
Country : US
Telephone Number : 510-482-2244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2015
Last Update Date : 03/19/2026

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Directions to “ TRISTAN JAMES COOK ” Practice Location

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