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Individual
SUSAN KLEENE BARNES
Active
Individual
SUSAN KLEENE BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-3722
ID
101YM0800X
Mental Health Counselor
LMFT-4010
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010155402
REGENCE BLUE SHIELD OF ID
ID
01
—
820516860
NGS AMERICAN INC
ID
01
—
X6885
BLUE CROSS OF IDAHO
ID
Enumeration date
03/20/2007
Last updated
12/01/2010
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