Provider Demographics
NPI:1972051340
Name:BARBOUR, JENNY CHRISTINE (MA, LPC)
Entity type:Individual
Prefix:
First Name:JENNY
Middle Name:CHRISTINE
Last Name:BARBOUR
Suffix:
Gender:
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 626
Mailing Address - Street 2:
Mailing Address - City:BARBOURSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25504-0626
Mailing Address - Country:US
Mailing Address - Phone:304-223-7500
Mailing Address - Fax:304-223-7300
Practice Address - Street 1:6440 FARMDALE RD
Practice Address - Street 2:
Practice Address - City:BARBOURSVILLE
Practice Address - State:WV
Practice Address - Zip Code:25504-1323
Practice Address - Country:US
Practice Address - Phone:304-223-7500
Practice Address - Fax:304-223-7300
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-14
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2403101YM0800X, 101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health