MR. CHARLES JACK COOK JR.


Address: 15095 Amargosa Rd, Suite 101, Victorville, CA 92394-1879
Phone: 7602454695

MR. CHARLES JACK COOK JR. (NPI# 1023203379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023203379
Entity Type Individual
Full Name MR. CHARLES JACK COOK JR.
Credential MBA
Practice Address 15095 Amargosa Rd
Suite 101
Victorville
CA 92394-1879
Practice Telephone 7602454695
Practice Fax Number 7602455896
Mailing Telephone 7607804016
Mailing Fax Number 7607804005
Enumeration Date 2007-09-10
Last Update Date 2010-12-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Providers CHARLES COOK

NPI Name Taxonomy Address Enumeration
1427304021 Charles Edward Cook Dentist 5230 Griggs Rd # Rs, Houston, TX 77021-3760 2012-08-01
1154364008 Charles Robert Cook Family Medicine 1701 Forest Ridge Dr, Bedford, TX 76022-7959 2006-06-14
1134189202 Charles R Cook Chiropractor 108 Creek Ln S, Jordan, MN 55352-1202 2006-03-24
1275508574 Charles Milton Cook Anesthesiology 3333 Riverbend Dr, Springfield, OR 97477-8800 2006-02-21
1861465601 Charles W Cook Jr. Obstetrics & Gynecology 400 Hospital Dr, Ste 210, Corsicana, TX 75110-2489 2006-02-10
1407288459 Charles Cook Nurse Practitioner 1903 Addison Ave, Wilkesboro, NC 28697-2262 2013-08-01
1508120775 Charles Cook Counselor 4300 Sw 13th St, Gainesville, FL 32608-4006 2012-07-02
1770635898 Charles T. Cook Marriage & Family Therapist 6711 Arlington Ave, Suite B, Riverside, CA 92504-1955 2007-01-17
1417967928 Charles Everett Cook Orthopaedic Surgery 8440 Walnut Hill Ln, #110, Dallas, TX 75231-3833 2006-08-08
1588616148 Charles H. Cook Surgery 410 W 10th Ave, Columbus, OH 43210-1240 2006-05-16

Office Location

Street Address 15095 AMARGOSA RD
SUITE 101
City VICTORVILLE
State CA
Zip Code 92394-1879

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457332884 Mojave Valley Physical Therapy Physical Therapist 15095 Amargosa Rd, Suite 104, Victorville, CA 92394-1879 2005-11-11
1013518547 Syville Talbird Community Health Worker 15095 Amargosa Rd, Victorville, CA 92394-1879 2020-11-02
1780282400 Haynnette Griselda Jimenez Community Health Worker 15095 Amargosa Rd, Victorville, CA 92394-1879 2020-10-14
1053919944 Carmela Santos Case Manager/Care Coordinator 15095 Amargosa Rd, Victorville, CA 92394-1879 2020-10-13
1891393799 Omoyinka Orekoya Community Health Worker 15095 Amargosa Rd, Victorville, CA 92394-1879 2020-10-13
1891312377 Lilliana G Melgar Community Health Worker 15095 Amargosa Rd, Victorville, CA 92394-1879 2020-06-30
1205472438 Elizabeth Difox Case Manager/Care Coordinator 15095 Amargosa Rd, Victorville, CA 92394-1879 2019-11-22
1639728694 Maria L Perez Case Manager/Care Coordinator 15095 Amargosa Rd, Victorville, CA 92394-1879 2019-09-11
1760946560 Myesha Niyoka Alexander Case Manager/Care Coordinator 15095 Amargosa Rd, Victorville, CA 92394-1879 2019-01-25
1265922835 Katherine Nicole Schilling Marriage & Family Therapist 15095 Amargosa Rd, Victorville, CA 92394-1879 2018-05-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164045803 Desert Horizon Residential Care Assisted Living Facility 15952 Condor Rd, Victorville, CA 92394 2020-05-28
1467000943 Tawanna Lasha Young Counselor 15095 Armargosa, Ste 208, Victorville, CA 92394 2019-08-28
1811543473 Silvano Gonzalez Transportation Broker 13767 Hidden Mesa Ct, Victorville, CA 92394 2019-08-09
1215442793 Yun Jung Choi Pharmacist 15318 Roy Rogers Dr., Victorville, CA 92394 2017-12-06
1770942914 Monica Castro Marriage & Family Therapist 15095 Armargosa Rd, 208, Victorville, CA 92394 2016-02-16
1902289226 Daesoon Leem Family Medicine 15095 Amargosa Rd, Bldg.1, #102, Victorville, CA 92394 2015-07-06
1093068322 City Taxi Taxi 14871 Totem Pole St, Victorville, CA 92394 2012-10-24
1467701318 Margarita Renee Ortega Counselor 16224 Tawney Ridge Lane, Victorville, CA 92394 2012-09-06
1326328584 Pro Line Transportation LLC Non-emergency Medical Transport (VAN) 10604 Karen Dr, Victorville, CA 92394 2011-08-19
1164604906 Maxim Healthcare Services, Inc. Home Health 15095 Amargosa Road, Suite 102, Victorville, CA 92394 2007-12-04
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467000943 Tawanna Lasha Young Counselor 15095 Armargosa, Ste 208, Victorville, CA 92394 2019-08-28
1265949564 Hd Christian Family Counseling, LLC Counselor 14420 Civic Dr Ste 4, Victorville, CA 92392-2384 2018-01-08
1306372586 Sandy Grisel Mendoza Counselor 14499 Begonia Rd Apt 69, Victorville, CA 92392-5916 2017-05-07
1124560644 Audrey Saber Counselor 13211 Eclipse Ave, Victorville, CA 92392-5034 2016-11-15
1912457177 Evonne Torres Tirado Counselor 14360 St Andrews Dr Ste 11, Victorville, CA 92395-4341 2016-10-11
1912386293 Sara Dickson Counselor 12188 Hesperia Rd Ste 100, Victorville, CA 92395-5822 2015-05-20
1114356797 Sydney Shanel Stewart Counselor 9942 Svl Box, Victorville, CA 92395-5144 2013-11-05
1043476526 Jessica Marie Ferreira Counselor 15095 Amargosa Rd., Suite # 201, Victorville, CA 92395-4341 2008-08-04
1669675237 Anthony Michael Mcadams Counselor 13333 Palmdale Rd., Victorville, CA 92393 2007-06-08
1316005689 Manuel Duran Morales Counselor 14360 Saint Andrews Dr Ste 11, Victorville, CA 92395-4341 2006-12-05
Find all providers in VICTORVILLE

Competitor

Search similar providers

City VICTORVILLE
Zip Code 92394

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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