Provider Demographics
NPI:1184988313
Name:COBB, RENAE ELAINE (LPC)
Entity type:Individual
Prefix:MRS
First Name:RENAE
Middle Name:ELAINE
Last Name:COBB
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 STONEPORT LN
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-3928
Mailing Address - Country:US
Mailing Address - Phone:972-727-4195
Mailing Address - Fax:
Practice Address - Street 1:2750 W. VIRGINIA PKWY,
Practice Address - Street 2:CCA NORTH TEXAS SUITE 108
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071
Practice Address - Country:US
Practice Address - Phone:972-542-8144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-03
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional