Doctor Name: | MR. JOHN WILLIAM BARNES |
NPI Number: | 1285928986 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 24378 |
Business Practice Address: | 467 Fm 19 Palestine, TX - 758031313 |
Business Phone Number: | 9038758872 |
Business Fax Number: | |
Mailing Address: | Po Box 202, RUSK |
State: | TX |
Postal Code: | 757850202 |
Phone Number: | 9038758872 |
Fax Number: | |
NPI Enumeration Date: | 05/31/2011 |
NPI Last Update Date: | 05/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 24378 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |