Doctor Name: | JOEL JONATHAN BARRIENTOS |
NPI Number: | 1982092227 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS ED |
License Number: | |
Business Practice Address: | 904 E Martin Luther King Jr Dr Centralia, IL - 628013720 |
Business Phone Number: | 6185331391 |
Business Fax Number: | |
Mailing Address: | 904 E Martin Luther King Jr Dr, CENTRALIA |
State: | IL |
Postal Code: | 628013720 |
Phone Number: | 6185331391 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2015 |
NPI Last Update Date: | 01/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |