Individual
DEBRA LYNN CARTER-BARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
303 1ST AVE NE, SUITE 240, FARIBAULT, MN 55021-5268
(507) 412-1468
(507) 331-8677
Mailing address
303 1ST AVE NE, SUITE 240, FARIBAULT, MN 55021-5268
(507) 412-1468
(507) 331-8677
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
17263
MN
101YP2500X
Professional Counselor
17263
MN
103TP2701X
Group Psychotherapy Psychologist
17263
MN
1041C0700X
Clinical Social Worker
17263
MN
106H00000X
Marriage & Family Therapist
17263
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790923035
—
MN
Enumeration date
01/24/2009
Last updated
04/09/2010
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