Cobo, Evita

Cobo, Evita is an sole proprietor health care provider with primary practice located at 185 North St , Bennington VT 05201-1813. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Cobo, Evita can be contacted via phone (802) 249-0645.

Contact Information

Primary practice address
185 North St Bennington VT 05201-1813
Phone: (802) 249-0645
Fax: (802) 823-5356
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 068-0000124 Vermont
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 068-0000124 Vermont
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 068-0000124 Vermont

Profile Details

NPI number 1184633810
LBN Legal business name Cobo, Evita
Credentials LCMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184633810 NPPES
Other 360028 MANAGED HEALTH NET
Other 18519 MANAGED HEALTH NET
MEDICAID 1010685 MANAGED HEALTH NET
Other 2186353 MANAGED HEALTH NET

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