Doctor Name: | BARBARA ENYEART |
NPI Number: | 1043432826 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CDP |
License Number: | CP00005675 |
Business Practice Address: | 1305 Mansfield St Ste 5 Richland, WA - 993523588 |
Business Phone Number: | 5099421624 |
Business Fax Number: | |
Mailing Address: | 61 S 42nd Pl, WEST RICHLAND |
State: | WA |
Postal Code: | 993535416 |
Phone Number: | 5099679208 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CP00005675 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |