Provider Demographics
NPI:1932849551
Name:MCCUBBIN, BARBARA TYNDALL (LPC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:TYNDALL
Last Name:MCCUBBIN
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 1:3879 E 120TH AVE #329
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80233-1658
Mailing Address - Country:US
Mailing Address - Phone:303-619-0927
Mailing Address - Fax:
Practice Address - Street 1:12021 PENNSYLVANIA ST STE 109B
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80241-3151
Practice Address - Country:US
Practice Address - Phone:303-619-0927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-31
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0004070101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health