Doctor Name: | STACIA ANN BARNES |
NPI Number: | 1588003974 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC |
License Number: | E0003696 |
Business Practice Address: | 9734 Jug St Nw Pataskala, OH - 430628691 |
Business Phone Number: | 7409247543 |
Business Fax Number: | 7409242002 |
Mailing Address: | 6916 Nichols Ln, JOHNSTOWN |
State: | OH |
Postal Code: | 430319509 |
Phone Number: | 7409739247 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2013 |
NPI Last Update Date: | 09/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | E0003696 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |