Individual
MITCHELL RAY BARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSMW
Contact information
Practice address
1820 E 17TH ST STE 115, IDAHO FALLS, ID 83404-6472
(208) 520-7074
(208) 970-6188
Mailing address
1820 E 17TH ST STE 115, IDAHO FALLS, ID 83404-6472
(208) 520-7074
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-41015
ID
104100000X
Social Worker
LMSW-41015
ID
Other
Enumeration date
12/14/2020
Last updated
06/12/2026
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