Provider Demographics
NPI:1124447156
Name:COBB, JULIE (LPC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:COBB
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:JULES
Other - Middle Name:
Other - Last Name:COBB
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:609 ROSS ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-3501
Mailing Address - Country:US
Mailing Address - Phone:734-794-3410
Mailing Address - Fax:
Practice Address - Street 1:300 N 5TH AVE STE 230
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-5504
Practice Address - Country:US
Practice Address - Phone:734-794-3410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-07
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI64010102336101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional