Individual
TAYLOR A BARRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
123 N YALE ST, NAMPA, ID 83651-2340
(208) 585-3375
Mailing address
923 GRANT ST, CALDWELL, ID 83605-4137
(208) 371-6908
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-42938
ID
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
LMSW-37704
ID
Other
Enumeration date
01/27/2019
Last updated
02/09/2023
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