Provider Demographics
NPI:1720350010
Name:COBIAN, KATHE DENISE (PLPC)
Entity Type:Individual
Prefix:MRS
First Name:KATHE
Middle Name:DENISE
Last Name:COBIAN
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:MS
Other - First Name:KATHE
Other - Middle Name:DENISE
Other - Last Name:ROGERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1405 SPRUCE DR
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:64034-8687
Mailing Address - Country:US
Mailing Address - Phone:816-510-7971
Mailing Address - Fax:
Practice Address - Street 1:10918 ELM AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64134-4108
Practice Address - Country:US
Practice Address - Phone:816-767-4324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011032186101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional