Provider Demographics
NPI:1083804108
Name:BARRY, CHRISTINE M (LCPC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:BARRY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:845 W GRANITE ST
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-9053
Mailing Address - Country:US
Mailing Address - Phone:406-438-6784
Mailing Address - Fax:
Practice Address - Street 1:305 W MERCURY ST STE 101
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-1672
Practice Address - Country:US
Practice Address - Phone:406-438-6784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT846101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT846OtherSTATE OF MONTANA