Sumter-Cobb, Josetta Lavonia

Sumter-Cobb, Josetta Lavonia is an individual health care provider with primary practice located at 1105 Gregg Hwy Nw , Aiken SC 29801-6341. She recently has 2 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 / Addiction (Substance Use Disorder) is her primary health care specialty. Sumter-Cobb, Josetta Lavonia can be contacted via phone (803) 649-1900.

Contact Information

Primary practice address
1105 Gregg Hwy Nw Aiken SC 29801-6341
Phone: (803) 649-1900
Fax: (803) 643-2926
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 5544 South Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 5544 South Carolina

Profile Details

NPI number 1275810467
LBN Legal business name Sumter-Cobb, Josetta Lavonia
Credentials MA, LPC-I
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2011
Last updated Oct 2nd, 2017 - about 7 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 1275810467 NPPES
South Carolina MEDICAID AD01AK
South Carolina Other 570569761

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