Provider Demographics
NPI:1831180728
Name:BARNARD, CHARLES E (MA, LMHC)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:E
Last Name:BARNARD
Suffix:
Gender:M
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 MAIN ST
Mailing Address - Street 2:SUITE 440
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660-2999
Mailing Address - Country:US
Mailing Address - Phone:360-694-5022
Mailing Address - Fax:360-735-7484
Practice Address - Street 1:1104 MAIN ST
Practice Address - Street 2:SUITE 440
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-2999
Practice Address - Country:US
Practice Address - Phone:360-694-5022
Practice Address - Fax:360-735-7484
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALHOOOO3813101YM0800X
WALH00003813101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional