Provider Demographics
NPI:1538253653
Name:OVERSON, BARBARA (MS, LMHC)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:OVERSON
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 DUPONT ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4021
Mailing Address - Country:US
Mailing Address - Phone:360-647-8011
Mailing Address - Fax:360-647-4761
Practice Address - Street 1:700 DUPONT ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4021
Practice Address - Country:US
Practice Address - Phone:360-647-8011
Practice Address - Fax:360-647-4761
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2009-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00051114101YM0800X
WALH60074799101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1127679Medicaid