Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mr. Hollis Malvard Cooksey IV

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1396655189

Mr. Hollis Malvard Cooksey IV is an Addiction (Substance Use Disorder) Counselor in Antioch, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

2108 San Simeon Ct
Antioch, CA 94509-5854
Phone: (510) 582-2100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (CA)

Record details

NPI number1396655189
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 11, 2026
Last updated in NPPESSeptember 11, 2026
Certification dateSeptember 11, 2026

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