Provider Demographics
NPI:1639645286
Name:BARBER, KAROL C (LLPC, CSAYC)
Entity Type:Individual
Prefix:
First Name:KAROL
Middle Name:C
Last Name:BARBER
Suffix:
Gender:F
Credentials:LLPC, CSAYC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48502-1728
Mailing Address - Country:US
Mailing Address - Phone:810-233-4031
Mailing Address - Fax:810-233-0008
Practice Address - Street 1:129 E 3RD ST
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48502-1728
Practice Address - Country:US
Practice Address - Phone:810-233-4031
Practice Address - Fax:810-233-0008
Is Sole Proprietor?:No
Enumeration Date:2018-10-22
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401015840101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional