Provider Demographics
NPI:1487986410
Name:STOTT, BARBARA S (LPC, NCC, DCC)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:S
Last Name:STOTT
Suffix:
Gender:F
Credentials:LPC, NCC, DCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21218 DARBY CT
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-9582
Mailing Address - Country:US
Mailing Address - Phone:541-318-7492
Mailing Address - Fax:
Practice Address - Street 1:21218 DARBY CT
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-9582
Practice Address - Country:US
Practice Address - Phone:541-318-7492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-01
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC2109101Y00000X
VA0701002235101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor