Provider Demographics
NPI:1497078935
Name:BAROWSKY, DENAE (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:DENAE
Middle Name:
Last Name:BAROWSKY
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 E STONEWATER CT
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:ID
Mailing Address - Zip Code:83616-3872
Mailing Address - Country:US
Mailing Address - Phone:208-891-4776
Mailing Address - Fax:
Practice Address - Street 1:2399 S ORCHARD ST
Practice Address - Street 2:SUITE 203
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83705-3793
Practice Address - Country:US
Practice Address - Phone:208-342-7030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID27-2057845101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional