Provider Demographics
NPI:1114417185
Name:COBIA, WHITNEY JEANETTE (LPC-A)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:JEANETTE
Last Name:COBIA
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 N ELAM AVE STE 301
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-1142
Mailing Address - Country:US
Mailing Address - Phone:336-832-9800
Mailing Address - Fax:336-832-9801
Practice Address - Street 1:510 N ELAM AVE STE 301
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-1142
Practice Address - Country:US
Practice Address - Phone:336-832-9800
Practice Address - Fax:336-832-9801
Is Sole Proprietor?:No
Enumeration Date:2018-05-15
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA13844101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional