MITCHELL RAY BARNEY LSMW
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1225624281- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LSMW
- Status
- Active
Contact & Location
- Address
- 1820 E 17TH ST STE 115, IDAHO FALLS, ID, 834046472
- Phone
- (208) 520-7074
- Fax
- (208) 970-6188
Specialties & Taxonomies
Counselor, Mental Health
Primary License: ID #LMSW-41015
Social Worker
License: ID #LMSW-41015