Individual
CARISSA ANN BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
827 W ASHBY DR, MERIDIAN, ID 83646-5695
(208) 854-9227
Mailing address
827 W ASHBY DR, MERIDIAN, ID 83646-5695
(208) 854-9227
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC4773
ID
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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