Provider Demographics
NPI:1962651331
Name:ZAN-STANFIELD, BARBARA DEE (MA,LMHC,NCC)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:DEE
Last Name:ZAN-STANFIELD
Suffix:
Gender:F
Credentials:MA,LMHC,NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2530 NE KRESKY AVE
Mailing Address - Street 2:SUITE B1
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-2410
Mailing Address - Country:US
Mailing Address - Phone:360-748-4447
Mailing Address - Fax:
Practice Address - Street 1:2530 NE KRESKY AVE
Practice Address - Street 2:SUITE B1
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532-2410
Practice Address - Country:US
Practice Address - Phone:360-748-4447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-10
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60226886101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health