MEDICARE: JULIE C BARR LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2014038426	MO

General Provider Information

NPI Number	:	1104190669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE C BARR LPC

Provider Business Mailing Address
First Line	:	7905 BIG BEND BLVD
Second Line	:	SUITE 206
City	:	SAINT LOUIS
State	:	MO
Zip	:	63119-2715
Country	:	US
Telephone Number	:	314-606-6763
Fax Number	:

Provider Business Practice Location Address
First Line	:	7905 BIG BEND BLVD
Second Line	:	SUITE 206
City	:	SAINT LOUIS
State	:	MO
Zip	:	63119-2715
Country	:	US
Telephone Number	:	314-606-6763
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2012
Last Update Date	:	03/21/2017

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