Provider Demographics
NPI:1730535915
Name:BARLOW, MARIE (LPC, MA, NCC)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:
Last Name:BARLOW
Suffix:
Gender:F
Credentials:LPC, MA, NCC
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:
Other - Last Name:BARLOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, NCC
Mailing Address - Street 1:3587 HEATHROW WAY
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-4004
Mailing Address - Country:US
Mailing Address - Phone:541-858-8170
Mailing Address - Fax:
Practice Address - Street 1:201 W 6TH ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97501-2708
Practice Address - Country:US
Practice Address - Phone:541-200-2900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-06
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC6019101YP2500X
283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No283Q00000XHospitalsPsychiatric Hospital