Individual
EVITA COBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
185 NORTH ST, BENNINGTON, VT 05201-1813
(802) 249-0645
(802) 823-5356
Mailing address
1958 MT ANTHONY RD, NORTH POWNAL, VT 05260-9720
(802) 249-0645
(802) 823-5356
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
068-0000124
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
068-0000124
VT
101YM0800X
Mental Health Counselor
Primary
068-0000124
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010685
—
VT
01
—
18519
BLUE CROSS
—
01
—
2186353
CIGNA
—
01
—
360028
MANAGED HEALTH NET
—
Enumeration date
08/05/2006
Last updated
09/11/2025
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