Provider Demographics
NPI:1477250066
Name:SALMON RUN COUNSELING
Entity Type:Organization
Organization Name:SALMON RUN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LPCC
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPCC
Authorized Official - Phone:907-252-8778
Mailing Address - Street 1:29 ROAD 5293
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:NM
Mailing Address - Zip Code:87401-1594
Mailing Address - Country:US
Mailing Address - Phone:907-252-8778
Mailing Address - Fax:
Practice Address - Street 1:29 ROAD 5293
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-1594
Practice Address - Country:US
Practice Address - Phone:907-252-8778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty