Individual
MICHELLE KAY BARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
148 S COLE RD, BOISE, ID 83709-0932
(208) 683-8320
(208) 969-8380
Mailing address
2601 N REDWAY RD, BOISE, ID 83704-6056
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-34327
ID
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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