MEDICARE: FARRELL COBBS JR.

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	373H00000X	Day Training/Habilitation Specialist		AK
2	101Y00000X	Counselor

General Provider Information

NPI Number	:	1194367540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARRELL COBBS JR.

Provider Business Mailing Address
First Line	:	7841 MAYFAIR DR APT 3
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99502-7247
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7841 MAYFAIR DR APT 3
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99502-7247
Country	:	US
Telephone Number	:	562-257-7295
Fax Number	:

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

Provider Enumeration Date	:	10/16/2019
Last Update Date	:	05/12/2026

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Directions to “ FARRELL COBBS JR. ” Practice Location

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