Individual
TANYA BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
9628 W STATE ST, STAR, ID 83669-5858
(208) 284-7698
Mailing address
16432 N MIDLAND BLVD # 419, NAMPA, ID 83687-5222
(208) 284-7698
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-7511
ID
Other
Enumeration date
06/28/2017
Last updated
11/01/2020
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