MEDICARE: SONIA CUELLAR-COBB

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	101Y00000X	Counselor
3	106H00000X	Marriage & Family Therapist	T2465	OR

General Provider Information

NPI Number	:	1518541754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONIA CUELLAR-COBB

Provider Business Mailing Address
First Line	:	360 E 10TH AVE STE 450
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97401-5599
Country	:	US
Telephone Number	:	541-687-6983
Fax Number	:	541-684-7638

Provider Business Practice Location Address
First Line	:	360 E 10TH AVE STE 450
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97401-3273
Country	:	US
Telephone Number	:	541-687-6983
Fax Number	:	541-684-7638

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2021
Last Update Date	:	09/12/2025

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Directions to “ SONIA CUELLAR-COBB ” Practice Location

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