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1902796188 NPI number — RUTH BARBOUR PCLC, ACLC

NPI Number: 1902796188
Health Care Provider/Practitioner: RUTH BARBOUR PCLC, ACLC

Information about “1902796188” NPI (RUTH BARBOUR PCLC, ACLC) exists in 1902796188 in HTML format HTML  |  1902796188 in plain Text format TXT  |  1902796188 in PDF (Portable Document Format) PDF  |  1902796188 in an XML format XML  formats.

NPI Number : 1902796188 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902796188",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BARBOUR",
    "FirstName": "RUTH",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PCLC, ACLC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1802 HILDA AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MISSOULA",
    "MailingAddressStateName": "MT",
    "MailingAddressPostalCode": "59801-5913",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "262-422-7471",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2620 CONNERY WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MISSOULA",
    "PracticeLocationAddressStateName": "MT",
    "PracticeLocationAddressPostalCode": "59808-1325",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "406-203-9948",
    "PracticeLocationAddressFaxNumber": "406-203-9949",
    "EnumerationDate": "07/08/2025",
    "LastUpdateDate": "07/08/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "BBH-PCLC-LIC-80145",
          "LicenseNumberStateCode": "MT",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "BBH-ACLC-LIC-80838",
          "LicenseNumberStateCode": "MT",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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