Individual provider · Type 1 NPI

Jesse R. Cooksey, INTERN

Addiction (Substance Use Disorder) Counselor · Berkeley, CA

NPI number 1164760435 Active

Practice location

1931 Center St
Berkeley, CA 94704-1105

Call (510) 666-9552 Map

Fax (510) 666-0987

Mailing address

2603 E 27th St, Apt. # A
Oakland, CA 94601-1912

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1164760435

Jesse R. Cooksey, INTERN's National Provider Identifier is 1164760435, issued on Jan 22, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Berkeley, CA. The record was last updated on Jan 22, 2013.