Individual
MARSHA BARKER WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
94 E PAGES LN, A, CENTERVILLE, UT 84014-2216
(801) 294-0578
(801) 298-2147
Mailing address
1525 N MAIN ST, 341, BOUNTIFUL, UT 84010-6166
(801) 296-2309
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7693559-6004
UT
101YM0800X
Mental Health Counselor
Primary
LPC-757
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106662500
—
WY
01
—
311368
BCBS OF WYOMING
WY
Enumeration date
04/16/2007
Last updated
12/03/2010
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