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Individual
BARBARA L CHURCH
Active
Individual
BARBARA L CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CCMH0096261
—
101YP2500X
Professional Counselor
0096261
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B9311
—
NM
Enumeration date
08/27/2009
Last updated
09/24/2020
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