Provider Demographics
NPI:1699235143
Name:BARNARD, KATIE (LCPC)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:BARNARD
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 GLENN ST STE 401
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-2560
Mailing Address - Country:US
Mailing Address - Phone:240-362-7439
Mailing Address - Fax:
Practice Address - Street 1:217 GLENN ST STE 401
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-2560
Practice Address - Country:US
Practice Address - Phone:240-362-7439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC9137101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health