Basic Information
| Provider Information | |||||||||
| NPI: | 1760917231 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COBBIN | ||||||||
| FirstName: | SALINA | ||||||||
| MiddleName: | |||||||||
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| Credential: | LMFT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 20501 VENTURA BLVD STE 170 | ||||||||
| Address2: | |||||||||
| City: | WOODLAND HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913646258 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8186570411 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 20501 VENTURA BLVD STE 170 | ||||||||
| Address2: | |||||||||
| City: | WOODLAND HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913646258 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8186570411 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/21/2017 | ||||||||
| LastUpdateDate: | 08/04/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 08/04/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | 107383 | CA | N | Behavioral Health & Social Service Providers | Marriage & Family Therapist | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 106H00000X | 119966 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.