Provider Demographics
NPI:1154893428
Name:NEVIN, BARBARA JEAN (LMHC)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:JEAN
Last Name:NEVIN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:BARBIE
Other - Middle Name:J
Other - Last Name:NEVIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:13411 171ST ST E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98374-9277
Mailing Address - Country:US
Mailing Address - Phone:253-880-4135
Mailing Address - Fax:
Practice Address - Street 1:13411 171ST ST E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98374-9277
Practice Address - Country:US
Practice Address - Phone:253-880-4135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-26
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61568759101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health