Individual
CASSADY COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
970 BLOOMFIELD RD, BARDSTOWN, KY 40004-9708
(270) 234-6695
Mailing address
3400 SALEM CHURCH RD, HODGENVILLE, KY 42748-9506
(270) 234-6695
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
KY
101YM0800X
Mental Health Counselor
LCSW252822
KY
1041C0700X
Clinical Social Worker
Primary
252822
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1722970
—
KY
Enumeration date
11/30/2015
Last updated
04/08/2025
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