Provider Demographics
NPI:1427151463
Name:ALBRECHT, BARBARA ALENE (MC, LPC)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ALENE
Last Name:ALBRECHT
Suffix:
Gender:F
Credentials:MC, LPC
Other - Prefix:MISS
Other - First Name:BARBARA
Other - Middle Name:ALENE
Other - Last Name:DEBLASSIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3625 E BRIARWOOD TER
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-7981
Mailing Address - Country:US
Mailing Address - Phone:480-628-1202
Mailing Address - Fax:
Practice Address - Street 1:2111 E BASELINE RD
Practice Address - Street 2:SUITE F-4
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-1516
Practice Address - Country:US
Practice Address - Phone:480-756-9455
Practice Address - Fax:480-756-9456
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-0488101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional