Individual
CANDACE L BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4460 CENTRAL WAY, STE 2, CHUBBUCK, ID 83202-5095
(208) 237-1711
(208) 237-9806
Mailing address
PO BOX 4908, POCATELLO, ID 83205-4908
(208) 237-1711
(208) 237-9806
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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