Provider Demographics
NPI:1902413297
Name:JENKINS LEHMAN, BARBARA A (LPC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:JENKINS LEHMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20457 MAZAMA PL
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-9809
Mailing Address - Country:US
Mailing Address - Phone:541-390-6138
Mailing Address - Fax:
Practice Address - Street 1:131 NW HAWTHORNE AVE STE 102
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-2957
Practice Address - Country:US
Practice Address - Phone:541-390-6138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-30
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC5729101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional