MR. Charles Jack Cook JR., MBA

NPI #1023203379 in Victorville, California

Provider Information

NPI Number: 1023203379
Entity Type: Individual
Name: MR. Charles Jack Cook JR., MBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: MBA
Enumeration Date: Sep 10, 2007
Last Updated: Dec 9, 2010

Practice Location

Address: 15095 AMARGOSA RD
Address 2: SUITE 101
City: Victorville
State: California
ZIP Code: 92394-1879
Phone: (760) 245-4695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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