Provider Demographics
NPI:1912491192
Name:COBB, MARE E (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:MARE
Middle Name:E
Last Name:COBB
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:MARE
Other - Middle Name:
Other - Last Name:COPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:104 S FREYA ST STE 114
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-4868
Mailing Address - Country:US
Mailing Address - Phone:503-325-4169
Mailing Address - Fax:509-325-4239
Practice Address - Street 1:104 S FREYA ST STE 114
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-4868
Practice Address - Country:US
Practice Address - Phone:503-325-4169
Practice Address - Fax:509-325-4239
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-20
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health