Individual
BEVERLY L COBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUP-LCSW MSW MTS
Contact information
Practice address
625 PINEY FOREST RD, DANVILLE, VA 24540-2867
(434) 713-3340
Mailing address
806 N MAIN ST, DANVILLE, VA 24540-4440
(434) 713-3340
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
0904009333
VA
101YP1600X
Pastoral Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
VA
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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