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Individual
DAVID ELMER KOBOLD
Active
Individual
DAVID ELMER KOBOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
BBH-LAC-LIC-25665
MT
1041C0700X
Clinical Social Worker
Primary
59043
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386153658
—
MT
Enumeration date
09/29/2017
Last updated
04/17/2026
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