Individual
MR. MARTY COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
120 N 9TH ST, MAYFIELD, KY 42066-1800
(270) 247-4212
(270) 247-2017
Mailing address
PO BOX 374, MAYFIELD, KY 42066-0029
(270) 247-4212
(270) 247-2017
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
290407
KY
101YM0800X
Mental Health Counselor
293683
KY
Other
Enumeration date
06/04/2024
Last updated
06/23/2025
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