Doctor Name: | JAIME LYNN BARNES |
NPI Number: | 1003110719 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | LC3093 |
Business Practice Address: | 601 Post Office Rd Suite 2d Waldorf, MD - 20602 |
Business Phone Number: | 3018480461 |
Business Fax Number: | 3018850922 |
Mailing Address: | 601 Post Office Rd, Suite 2d WALDORF |
State: | MD |
Postal Code: | 206021912 |
Phone Number: | 3018480461 |
Fax Number: | 3018850922 |
NPI Enumeration Date: | 01/10/2011 |
NPI Last Update Date: | 01/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LC3093 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |