Provider Demographics
NPI:1902798853
Name:COBB, DANIEL WAYNE (SCHOOL COUNSELING)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:WAYNE
Last Name:COBB
Suffix:
Gender:M
Credentials:SCHOOL COUNSELING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E NICOLET ST
Mailing Address - Street 2:
Mailing Address - City:BANNING
Mailing Address - State:CA
Mailing Address - Zip Code:92220-5551
Mailing Address - Country:US
Mailing Address - Phone:951-922-0280
Mailing Address - Fax:
Practice Address - Street 1:101 E NICOLET ST, BANNING,
Practice Address - Street 2:
Practice Address - City:BANNING
Practice Address - State:CA
Practice Address - Zip Code:92220
Practice Address - Country:US
Practice Address - Phone:951-922-0280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool