Provider Demographics
NPI:1063227635
Name:COBB, JOANNA CATHERINE (MED, LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:CATHERINE
Last Name:COBB
Suffix:
Gender:F
Credentials:MED, LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2541 COUNTY ROAD 357
Mailing Address - Street 2:
Mailing Address - City:ALVIN
Mailing Address - State:TX
Mailing Address - Zip Code:77511-1596
Mailing Address - Country:US
Mailing Address - Phone:832-814-5886
Mailing Address - Fax:
Practice Address - Street 1:2541 COUNTY ROAD 357
Practice Address - Street 2:
Practice Address - City:ALVIN
Practice Address - State:TX
Practice Address - Zip Code:77511-1596
Practice Address - Country:US
Practice Address - Phone:832-814-5886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91684101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional