Individual
MONIQUE VICTORIA BARBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC
Contact information
Practice address
6001 W STATE ST STE D, GARDEN CITY, ID 83703-6428
(208) 398-3431
(208) 986-3015
Mailing address
6001 W STATE ST STE D, GARDEN CITY, ID 83703-6428
(208) 398-3431
(208) 986-3015
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
7321
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZD270419D
DRIVERS LICENSE
ID
Enumeration date
05/15/2019
Last updated
03/18/2025
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