Provider Demographics
NPI:1164576302
Name:CHATEAUBRIAND, BARBARA (MASTER DEGREE)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:CHATEAUBRIAND
Suffix:
Gender:F
Credentials:MASTER DEGREE
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:ROSE
Other - Last Name:CHATEAUBRIAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1424 NE 155TH ST STE 209
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155-7104
Mailing Address - Country:US
Mailing Address - Phone:206-206-2530
Mailing Address - Fax:
Practice Address - Street 1:1424 NE 155TH ST STE 209
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98155-7104
Practice Address - Country:US
Practice Address - Phone:206-250-2530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC6471101YM0800X
SDLPC-MH30554101YM0800X
WALH00008130101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health