| Doctor Name: | DR. KATHANETTE BARNES |
| NPI Number: | 1427309376 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | |
| Business Practice Address: | 790 Jasperson Ct Fairburn, GA - 302134610 |
| Business Phone Number: | 4047865560 |
| Business Fax Number: | |
| Mailing Address: | 790 Jasperson Ct, FAIRBURN |
| State: | GA |
| Postal Code: | 302134610 |
| Phone Number: | 4047865560 |
| Fax Number: | |
| NPI Enumeration Date: | 10/01/2012 |
| NPI Last Update Date: | 10/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |