| Doctor Name: | MS. BARBARA JOANNE VANDENBERG |
| NPI Number: | 1225232663 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CADC II, NCAC II |
| License Number: | 94-02-26 |
| Business Practice Address: | 250 S F St Lakeview, OR - 976301743 |
| Business Phone Number: | 5419474357 |
| Business Fax Number: | 5419474354 |
| Mailing Address: | 250 S F St, LAKEVIEW |
| State: | OR |
| Postal Code: | 976301743 |
| Phone Number: | 5419474357 |
| Fax Number: | 5419474354 |
| NPI Enumeration Date: | 06/11/2007 |
| NPI Last Update Date: | 03/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 94-02-26 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |