Individual
FREDDIE D COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.A.D.C.
Contact information
Practice address
5220 PARK AVE STE 100, MEMPHIS, TN 38119-3541
(901) 859-3687
Mailing address
7911 HEMMINGWOOD RD APT 4, CORDOVA, TN 38016-3804
(901) 859-3687
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LDC0000001149
TN
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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