Individual
JASON CARL BARBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
220 RIVER ST. EAST, KETCHUM, ID 83340
(208) 450-2017
Mailing address
311 S MAIN ST, HAILEY, ID 83333-8403
(208) 788-2078
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-9160
ID
101YM0800X
Mental Health Counselor
LPC-7194
ID
Other
Enumeration date
02/25/2019
Last updated
11/18/2022
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