Healthcare Provider Details

I. General information

NPI: 1760322499
Provider Name (Legal Business Name): SONIA M COBOS MS, APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3517 CAMINO DEL RIO S STE 302
SAN DIEGO CA
92108-4029
US

IV. Provider business mailing address

355 S BANCROFT ST
SAN DIEGO CA
92113-1507
US

V. Phone/Fax

Practice location:
  • Phone: 619-996-3195
  • Fax:
Mailing address:
  • Phone: 619-655-2590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPCC14272
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: