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NPI Code Detail

MEDICARE: MRS. MADELENE THOMAS BARBER MC, LPC

MEDICARE: MRS. MADELENE THOMAS BARBER MC, 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
1101YP2500XProfessional Counselor0701011183VA

General Provider Information

NPI Number : 1346992781
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MADELENE THOMAS BARBER MC, LPC
Provider Business Mailing Address
First Line : 6603 IRONGATE SQ
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23234-6081
Country : US
Telephone Number : 804-743-0960
Fax Number : 804-396-2195
Provider Business Practice Location Address
First Line : 6603 IRONGATE SQ
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23234-6081
Country : US
Telephone Number : 804-743-0960
Fax Number : 804-396-2195
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2022
Last Update Date : 08/15/2022

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