Provider Demographics
NPI:1730577081
Name:GEORGE, BARBARA (CMHC)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:GEORGE
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12137 S ENCAMPMENT CIR
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-8236
Mailing Address - Country:US
Mailing Address - Phone:801-598-7837
Mailing Address - Fax:
Practice Address - Street 1:12137 S ENCAMPMENT CIR
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-8236
Practice Address - Country:US
Practice Address - Phone:801-598-7837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-08
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
UT8171367-6004101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional