JESSE R COOKSEY

BERKELEY, CA
NPI1164760435
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-01-22
Last Update Date2013-01-22
Business Address
Mr. JESSE R COOKSEY Intern
1931 CENTER ST
BERKELEY, CA 94704-1105
Phone number: 510-666-9552
Mailing Address
Mr. JESSE R COOKSEY Intern
2603 E 27TH ST APT. # A
OAKLAND, CA 94601-1912
Phone number: 510-395-5373
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