Provider Demographics
NPI:1982850202
Name:BARRY, CHRISTINE LYNN (MFT)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:LYNN
Last Name:BARRY
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:796 MEGAN
Mailing Address - Street 2:SUITE 300
Mailing Address - City:RIFLE
Mailing Address - State:CO
Mailing Address - Zip Code:81650-4703
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:796 MEGAN
Practice Address - Street 2:SUITE 300
Practice Address - City:RIFLE
Practice Address - State:CO
Practice Address - Zip Code:81650-4703
Practice Address - Country:US
Practice Address - Phone:970-625-3582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist