Provider Demographics
NPI:1275850471
Name:KOBSAR, JAMIE ROBERT (LPC)
Entity Type:Individual
Prefix:MR
First Name:JAMIE
Middle Name:ROBERT
Last Name:KOBSAR
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:684 E SIPAPU DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-1391
Mailing Address - Country:US
Mailing Address - Phone:480-284-1456
Mailing Address - Fax:480-219-9977
Practice Address - Street 1:2730 S VAL VISTA DR
Practice Address - Street 2:BLDG. 7, STE. 135
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-1675
Practice Address - Country:US
Practice Address - Phone:480-284-1456
Practice Address - Fax:480-219-9977
Is Sole Proprietor?:No
Enumeration Date:2010-04-27
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC - 13365101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional