Individual
MRS. KATHLENE MARIE BARNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, CMHC
Contact information
Practice address
849 E FAIRVIEW AVE, MERIDIAN, ID 83642-1806
(661) 805-0183
Mailing address
849 E FAIRVIEW AVE, MERIDIAN, ID 83642-1806
(661) 805-0183
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7968
ID
Other
Enumeration date
07/30/2018
Last updated
01/29/2024
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