Individual
BARCLAY BUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT, LCPC
Contact information
Practice address
950 W IRONWOOD DR STE 2, COEUR D ALENE, ID 83814-2644
(208) 664-1594
Mailing address
950 W IRONWOOD DR STE 2, COEUR D ALENE, ID 83814-2644
(208) 664-1594
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-4300
ID
106H00000X
Marriage & Family Therapist
LMFT-4199
ID
106H00000X
Marriage & Family Therapist
MFC35471
CA
Other
Enumeration date
01/30/2007
Last updated
02/17/2009
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