Individual
DENISE COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 W BROAD ST, COLUMBUS, OH 43222-1417
(614) 732-4810
Mailing address
1852 BAR HARBOR RD, COLUMBUS, OH 43219-1364
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162188
CHEMICAL DEPENDENCY BOARD
OH
Enumeration date
02/08/2018
Last updated
02/08/2018
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