Provider Demographics
NPI:1538294442
Name:BARCLAY, ALICE GEDNEY (LPC , LCPC)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:GEDNEY
Last Name:BARCLAY
Suffix:
Gender:F
Credentials:LPC , LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 301
Mailing Address - Street 2:
Mailing Address - City:SAINT FRANCIS
Mailing Address - State:KS
Mailing Address - Zip Code:67756-0301
Mailing Address - Country:US
Mailing Address - Phone:720-805-8852
Mailing Address - Fax:
Practice Address - Street 1:107 W 4TH ST STE 2
Practice Address - Street 2:
Practice Address - City:BIRD CITY
Practice Address - State:KS
Practice Address - Zip Code:67731-3222
Practice Address - Country:US
Practice Address - Phone:720-805-8852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0017360101YP2500X
KS03138101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional