Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JESSE R COOKSEY, INTERN
ActiveAddiction (Substance Use Disorder) Counselor · BERKELEY, CA
Registration Details
- NPI Number
- 1164760435
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 22, 2013 (13.278511581539 yrs)
- Last Updated
- Jan 22, 2013
Practice Information
- Address
-
1931 CENTER STBERKELEY, CA, 947041105Browse CA providers · Browse ZIP 94704
- Phone
- 5106669552
- Fax
- 5106660987
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in BERKELEY, CA
| Name | Credential | NPI |
|---|---|---|
| MS. SYD SUSAN STRONG | PH D MFCC | 1568558518 |
| MS. VALERIE ANN FELLOWS | — | 1992846026 |
| MR. LEE BOONE | — | 1871617803 |
| MS. MARCIA CAINE EDELEN | CADC I | 1285839746 |
| MR. PAUL J. WILSON | — | 1942405444 |
| MR. MELVIN C. WASHINGTON | — | 1699970160 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.