Doctor Name: | MR. ALBERT BERNARD BARRON |
NPI Number: | 1033379250 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CSAC |
License Number: | 2115 |
Business Practice Address: | 3300 Cashwell Dr Ste 3 Goldsboro, NC - 275344492 |
Business Phone Number: | 9197518989 |
Business Fax Number: | 9197511616 |
Mailing Address: | 3300 Cashwell Dr Ste 3, GOLDSBORO |
State: | NC |
Postal Code: | 275344492 |
Phone Number: | 9197518989 |
Fax Number: | 9197511616 |
NPI Enumeration Date: | 06/11/2008 |
NPI Last Update Date: | 06/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 2115 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |