Provider Demographics
NPI:1407509003
Name:MICHON BARNES, STELLA MARTHE (MA, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:STELLA
Middle Name:MARTHE
Last Name:MICHON BARNES
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12065 JEFFERSON BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90230-6219
Mailing Address - Country:US
Mailing Address - Phone:818-599-1234
Mailing Address - Fax:
Practice Address - Street 1:12065 JEFFERSON BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90230-6219
Practice Address - Country:US
Practice Address - Phone:818-599-1234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA126599101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health