LUCAS ANTHONY COOK

CAMPO, CA
NPI1952079196
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1442880821)
Enumeration Date2021-09-02
Last Update Date2021-09-02
Business Address
Mr. LUCAS ANTHONY COOK RADT
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906-2022
Phone number: 619-478-5696
Mailing Address
Mr. LUCAS ANTHONY COOK RADT
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906-2022
Phone number: 619-478-5696
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