Cobb, Gentry
Cobb, Gentry is an individual health care provider with primary practice located at 224 W D. L. Ingram Avenue, Bldg 1408 Cannon Afb, Clovis NM 88103. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cobb, Gentry can be contacted via phone (575) 650-7740.Contact Information
Primary practice address
224 W D. L. Ingram Avenue, Bldg 1408 Cannon Afb
Clovis NM 88103
Phone: (575) 650-7740
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4272 | Kansas |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2012012516 | Missouri |
Profile Details
| NPI number | 1073910154 |
|---|---|
| LBN Legal business name | Cobb, Gentry |
| Credentials | LCSW; LSCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2014 |
| Last updated | Dec 15th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073910154 | NPPES |
| Missouri | Other | 2012012516 | LCSW LICENSURE |
| Missouri | Other | 4272 | LCSW LICENSURE |
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