Individual provider · Type 1 NPI

Georgina Cooke

Mental Health Counselor · Santa Monica, CA

NPI number 1023532850 Active

Practice location

1328 2nd St
Santa Monica, CA 90401-1122

Mailing address

8019 Compton Ave
Los Angeles, CA 90001-3409

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800X80713 (CA)

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About NPI 1023532850

Georgina Cooke's National Provider Identifier is 1023532850, issued on Aug 2, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Monica, CA. The record was last updated on Feb 1, 2018.