Individual provider · Type 1 NPI

Delaine Christine Cooke, CO

Addiction (Substance Use Disorder) Counselor · Ukiah, CA

NPI number 1255547865 Active

Practice location

1120 S Dora St
Ukiah, CA 95482-6340

Mailing address

221B S Lenore Ave
Willits, CA 95490-3632

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XBRA-S7-0175 (CA)

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

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About NPI 1255547865

Delaine Christine Cooke, CO's National Provider Identifier is 1255547865, issued on May 14, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ukiah, CA. The record was last updated on Apr 10, 2014.