| Doctor Name: | MR. CHRIS FREDERICK KOBESKO |
| NPI Number: | 1063641611 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSE |
| License Number: | 6401008569 |
| Business Practice Address: | 101 N Beecher St Bessemer, MI - 499111109 |
| Business Phone Number: | 9066634599 |
| Business Fax Number: | 9066634588 |
| Mailing Address: | N10504 Carol St, IRONWOOD |
| State: | MI |
| Postal Code: | 499389507 |
| Phone Number: | 9063649139 |
| Fax Number: | |
| NPI Enumeration Date: | 07/03/2009 |
| NPI Last Update Date: | 07/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401008569 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |