Doctor Name: | MISS JENNIFER LYNN BARRETTO |
NPI Number: | 1053446294 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 604 E Ocean Ave Lompoc, CA - 934366925 |
Business Phone Number: | 8057360357 |
Business Fax Number: | 8057370389 |
Mailing Address: | 375 Jullien Dr, SANTA MARIA |
State: | CA |
Postal Code: | 934555406 |
Phone Number: | 8059372032 |
Fax Number: | |
NPI Enumeration Date: | 02/21/2007 |
NPI Last Update Date: | 10/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |