Doctor Name: | COBEY SENESCU |
NPI Number: | 1063795334 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | I-07612 |
Business Practice Address: | 110 Paseo Del Canon W Taos, NM - 875716743 |
Business Phone Number: | 5757513109 |
Business Fax Number: | |
Mailing Address: | 110 Paseo Del Canon W, TAOS |
State: | NM |
Postal Code: | 875716743 |
Phone Number: | 5757513109 |
Fax Number: | |
NPI Enumeration Date: | 09/23/2011 |
NPI Last Update Date: | 09/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | I-07612 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |