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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JESSE RAY COBB, LCSW

Active Sole Proprietor

MR. JESSE RAY COBB, LCSW is a Clinical Social Worker healthcare provider located in FRUITLAND, Idaho. NPI 1083001630 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · FRUITLAND, ID

Registration Details

NPI Number
1083001630
Provider Type
Individual
Gender
Male
NPI Issued
Apr 21, 2015 (11.306508581189 yrs)
Last Updated
Apr 21, 2015
License
LCSW-30921 (ID)
Sole Proprietor
Yes

Practice Information

Address
1210 NW 16TH ST
FRUITLAND, ID, 836192202
Browse ID providers · Browse ZIP 83619
Phone
2084528600
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in FRUITLAND, ID

Name Credential NPI
MRS. FRANKIE DIANE LARSEN LCSW 1669609020
BRADI FRITTS LCSW 1043517105
AMY BEITIA LCSW 1104223080
CAMI LYNN BLACKBURN LMSW 1417729526
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.