Doctor Name: | ERICA D BARNES |
NPI Number: | 1043491475 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., LCPC |
License Number: | 180-006666 |
Business Practice Address: | 125 N 1st St Dekalb, IL - 601153226 |
Business Phone Number: | 8159013769 |
Business Fax Number: | |
Mailing Address: | Po Box 241, DEKALB |
State: | IL |
Postal Code: | 601150241 |
Phone Number: | 8159013769 |
Fax Number: | |
NPI Enumeration Date: | 11/14/2007 |
NPI Last Update Date: | 12/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 180-006666 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |