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Individual

BARBARA PERUSSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
231 N 3RD AVE STE 204, SANDPOINT, ID 83864-1418
(208) 290-2457
Mailing address
504 N FOREST AVE, SANDPOINT, ID 83864-1925
(208) 290-2457

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-7208
ID
101YP2500X
Professional Counselor
LPC 5754
ID

Other

Enumeration date
06/12/2015
Last updated
04/01/2019
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