Individual
BARBARA KRICHBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
265 E CHUBBUCK RD, CHUBBUCK, ID 83202-5055
(208) 237-1711
Mailing address
265 E CHUBBUCK RD, CHUBBUCK, ID 83202-5055
(208) 237-1711
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-4769
ID
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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