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NPI Code Detail

MEDICARE: SALINA COBBIN LMFT

MEDICARE: SALINA COBBIN LMFT
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
1106H00000XMarriage & Family Therapist107383CA
2390200000XStudent in an Organized Health Care Education/Training Program
3106H00000XMarriage & Family Therapist119966CA

General Provider Information

NPI Number : 1760917231
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALINA COBBIN LMFT
Provider Business Mailing Address
First Line : 20501 VENTURA BLVD STE 170
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91364-6258
Country : US
Telephone Number : 818-657-0411
Fax Number :
Provider Business Practice Location Address
First Line : 20501 VENTURA BLVD STE 170
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91364-6258
Country : US
Telephone Number : 818-657-0411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2017
Last Update Date : 10/25/2024

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Directions to “ SALINA COBBIN LMFT” Practice Location

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