Individual provider · Type 1 NPI
Demone Lee Cook Sr., CADC II-CS
Addiction (Substance Use Disorder) Counselor · Los Angeles, CA
NPI number
1255075743
Active
Practice location
2120 3rd Ave
Los Angeles, CA 90018-1226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | A052731221 (CA) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CS0961221 (CA) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1255075743
Demone Lee Cook Sr., CADC II-CS's National Provider Identifier is 1255075743, issued on Apr 21, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 4, 2024.