Tyrell Cook
Counselor, Addiction (Substance Use Disorder) in Long Beach, CA. Individual provider (NPI-1).
NPI number1861379331
StatusActive
Last updated in NPPESAug 18, 2025
Details
- NPI
- 1861379331
- Entity type
- Individual (NPI-1)
- Name
- Tyrell Cook
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2025
- Certification date
- Aug 18, 2025
- Last updated
- Aug 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | R1418350924 | CA | Yes |
Practice location
1775 Chestnut AveLong Beach, CA 90813-1674
Phone 562-599-8444 · Fax 562-591-6134
Mailing address
43736 32nd St ELancaster, CA 93535-6217
Phone 323-270-3595 · Fax 562-591-6134
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