Doctor Name: | MS. HEIDI M BARRETT-MCNERNEY |
NPI Number: | 1295065522 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BSW, CDCII, NCACI |
License Number: | CDCII 3374 |
Business Practice Address: | 3400 Rezanof Drive East Kodiak, AK - 99615 |
Business Phone Number: | 9074869844 |
Business Fax Number: | 9074863498 |
Mailing Address: | 3449 E Rezanof Dr, KODIAK |
State: | AK |
Postal Code: | 996156952 |
Phone Number: | 9074869844 |
Fax Number: | 9074863498 |
NPI Enumeration Date: | 01/08/2010 |
NPI Last Update Date: | 01/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CDCII 3374 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |