Individual provider · Type 1 NPI

Charles Jack Cook Jr., MBA

Counselor · Victorville, CA

NPI number 1023203379 Active

Practice location

15095 Amargosa Rd, Suite 101
Victorville, CA 92394-1879

Call (760) 245-4695 Map

Fax (760) 245-5896

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1023203379

Charles Jack Cook Jr., MBA's National Provider Identifier is 1023203379, issued on Sep 10, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Victorville, CA. The record was last updated on Dec 9, 2010.