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Gina Cook

Peer Specialist in Eureka, CA. Individual provider (NPI-1).

NPI number1881287696
StatusActive
Last updated in NPPESMay 11, 2021

Details

NPI
1881287696
Entity type
Individual (NPI-1)
Name
Gina Cook
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 12, 2021
Certification date
Apr 16, 2021
Last updated
May 11, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes
172V00000X Community Health Worker–CA

Practice location

720 Wood St
Eureka, CA 95501-4413

Phone 707-268-2990

Mailing address

638 W Clark St
Mod G
Eureka, CA 95501-4413

Phone 707-441-5039

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