Individual
JAXON J KOBEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
210 N WILLIAMS ST UNIT C, MOBERLY, MO 65270
(660) 263-7651
(660) 263-2815
Mailing address
1627 BOLD RULER CT, COLUMBIA, MO 65202-3358
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2014001115
MO
1041C0700X
Clinical Social Worker
Primary
2017015858
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490043151
—
MO
Enumeration date
09/17/2015
Last updated
12/22/2021
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