Individual provider · Type 1 NPI
Lucas Anthony Cook, RADT
Addiction (Substance Use Disorder) Counselor · Campo, CA
NPI number
1952079196
Active
Practice location
1777 Buckman Springs Rd
Campo, CA 91906-2022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | R1442880821 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1952079196
Lucas Anthony Cook, RADT's National Provider Identifier is 1952079196, issued on Sep 2, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Campo, CA. The record was last updated on Sep 2, 2021.