Provider Demographics
NPI:1164312831
Name:COBY, JENNIFER ANNE (LCMHCA)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ANNE
Last Name:COBY
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 CRESTMONT AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-4409
Mailing Address - Country:US
Mailing Address - Phone:828-761-3149
Mailing Address - Fax:
Practice Address - Street 1:20 RAVENSCROFT DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3637
Practice Address - Country:US
Practice Address - Phone:828-761-3149
Practice Address - Fax:828-372-4701
Is Sole Proprietor?:No
Enumeration Date:2025-07-05
Last Update Date:2025-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA21657101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional