Doctor Name: | RAYMOND BARRETT |
NPI Number: | 1003055500 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC, LMHC |
License Number: | LPC006295 |
Business Practice Address: | 514 S Main St Canandaigua, NY - 144242246 |
Business Phone Number: | 5858576122 |
Business Fax Number: | 5859053239 |
Mailing Address: | 261 S Pearl St, CANANDAIGUA |
State: | NY |
Postal Code: | 144241749 |
Phone Number: | 5858576122 |
Fax Number: | 5859053239 |
NPI Enumeration Date: | 02/07/2009 |
NPI Last Update Date: | 10/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC006295 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |