Healthcare Provider Details

I. General information

NPI: 1285890152
Provider Name (Legal Business Name): KAREN A COBB LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAREN A COBB LMHC

II. Dates (important events)

Enumeration Date: 07/31/2008
Last Update Date: 01/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6611 GULTON CT NE
ALBUQUERQUE NM
87109-4407
US

IV. Provider business mailing address

8205 SPAIN ROAD NE SUITE 106
ALBUQUERQUE NM
87109-3155
US

V. Phone/Fax

Practice location:
  • Phone: 505-296-3965
  • Fax: 505-323-9430
Mailing address:
  • Phone: 505-384-7352
  • Fax: 808-271-9165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0115531
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: