Individual provider · Type 1 NPI

Candace L. Barry

Mental Health Counselor · Chubbuck, ID

NPI number 1992140214 Active

Practice location

4460 Central Way, Ste 2
Chubbuck, ID 83202-5095

Call (208) 237-1711 Map

Fax (208) 237-9806

Mailing address

PO Box 4908
Pocatello, ID 83205-4908

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1992140214

Candace L. Barry's National Provider Identifier is 1992140214, issued on Apr 30, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chubbuck, ID. The record was last updated on Apr 30, 2013.