Provider Demographics
NPI:1235745480
Name:BARASHKOFF, CAROLYNN JANE
Entity Type:Individual
Prefix:
First Name:CAROLYNN
Middle Name:JANE
Last Name:BARASHKOFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 31ST ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-7609
Mailing Address - Country:US
Mailing Address - Phone:425-879-3163
Mailing Address - Fax:
Practice Address - Street 1:1601 31ST ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-7609
Practice Address - Country:US
Practice Address - Phone:425-879-3163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-22
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)