Organization
DARE TO CHANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAMON COBBLE LMFT (OWNER)
(502) 403-5921
Entity
Organization
Contact information
Practice address
811 S 2ND ST, LOUISVILLE, KY 40203-2209
(502) 403-5921
Mailing address
811 S 2ND ST, LOUISVILLE, KY 40203-2209
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MFTMFT00218984
KY
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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