Individual
KATHRYN BARNES I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3729 WOODKING DR STE 1, IDAHO FALLS, ID 83404-4720
(208) 534-5299
Mailing address
13961 N 5TH W, IDAHO FALLS, ID 83401-5109
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC-7347
ID
101YP2500X
Professional Counselor
Primary
LCPC-8453
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC-7347
LICENSE #
ID
Enumeration date
07/03/2019
Last updated
08/31/2022
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