Cooke, Bruce David

Cooke, Bruce David is an sole proprietor health care provider with primary practice located at 850 E Foothill Blvd # A , Rialto CA 92376-5230. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Cooke, Bruce David can be contacted via phone (909) 421-9300.

Contact Information

Primary practice address
850 E Foothill Blvd # A Rialto CA 92376-5230
Phone: (909) 421-9300
Fax: (909) 421-9411
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCS23495 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCS23495 California
Behavioral Health & Social Service Providers / Pastoral 101YP1600X LCS23495 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS23495 California
Behavioral Health & Social Service Providers / School 1041S0200X LCS23495 California

Profile Details

NPI number 1932236510
LBN Legal business name Cooke, Bruce David
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
Last updated Apr 5th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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