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NPI Code Detail

MEDICARE: MONIQUE VICTORIA BARBER PHD, LPC

MEDICARE:   MONIQUE VICTORIA BARBER  PHD, 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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101Y00000XCounselor
3101YM0800XMental Health Counselor
4101YP2500XProfessional Counselor7321ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ZD270419DOTHERIDDRIVERS LICENSE

General Provider Information

NPI Number : 1750947701
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONIQUE VICTORIA BARBER PHD, LPC
Provider Business Mailing Address
First Line : 6001 W STATE ST STE D
Second Line :
City : GARDEN CITY
State : ID
Zip : 83703-6428
Country : US
Telephone Number : 208-398-3431
Fax Number : 208-986-3015
Provider Business Practice Location Address
First Line : 6001 W STATE ST STE D
Second Line :
City : GARDEN CITY
State : ID
Zip : 83703-6428
Country : US
Telephone Number : 208-398-3431
Fax Number : 208-986-3015
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2019
Last Update Date : 03/18/2025

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Directions to “ MONIQUE VICTORIA BARBER PHD, LPC” Practice Location

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