Individual
STEPHANIE PAULETTE COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHP, LPN
Contact information
Practice address
5332 BLEECKER ST APT 204, VIRGINIA BEACH, VA 23462-3761
(757) 621-6697
Mailing address
5332 BLEECKER ST APT 204, VIRGINIA BEACH, VA 23462-3761
(757) 621-6697
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0732009832
VA
164W00000X
Licensed Practical Nurse
0002068356
VA
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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