Provider Demographics
NPI:1447860275
Name:NABORS, BARBARA (LAC)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:NABORS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 1ST AVE N
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59401-2510
Mailing Address - Country:US
Mailing Address - Phone:406-454-5074
Mailing Address - Fax:406-791-9277
Practice Address - Street 1:775 W GOLD ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-2301
Practice Address - Country:US
Practice Address - Phone:406-782-5389
Practice Address - Fax:406-723-4909
Is Sole Proprietor?:No
Enumeration Date:2020-08-06
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LAC-LIC-38701101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)