Individual
KEVIN R COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
116 JOHN ST, 27 FLOOR, NEW YORK, NY 10038-3300
(212) 385-0086
(212) 732-0757
Mailing address
116 JOHN ST, 27 FLOOR, NEW YORK, NY 10038-3300
(212) 385-0086
(212) 732-0757
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19853
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133480517
WORKS FOR CIS COUNSELING CENTER, INC.
NY
Enumeration date
11/24/2008
Last updated
11/24/2008
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