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Individual

MR. KOBIE HEARL COBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
1608 THIRD AVENUE, WILLIAMSON, WV 25661
(304) 235-0026
(304) 235-0028
Mailing address
3758 GARRETTS FORK RD, CHAPMANVILLE, WV 25508-8733
(304) 784-1312

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
07/03/2024
Last updated
07/03/2024
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