Individual
SHARON MOORE BARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
10112 W OVERLAND RD, BOISE, ID 83709-1428
(208) 780-3900
(208) 375-2882
Mailing address
10112 W OVERLAND RD, BOISE, ID 83709-1428
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-3846
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477920270
—
ID
Enumeration date
07/27/2022
Last updated
07/27/2022
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