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JOHN JOSEPH BARISA MA

Mental Health (Including Community Mental Health Center) >> Clinic/Center >> Ambulatory Health Care Facilities

Registrant NPI Number: 1881044162

Individual Registrant:
 JOHN JOSEPH BARISA MA
Gender: M
Sole Proprietor

Location and contact information for practice:
209 PATRICIA RD  MADISON, AL 35758-1416 US
Tel: 256-541-2827  Fax: 256-828-8872

Contact information for business:
209 PATRICIA RD  MADISON, AL 35758-1416 US
Tel: 256-541-2827  Fax: 256-828-8872

Registration Information:
NPI: 1881044162
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N261QM0801XAmbulatory Health Care Facilities
Clinic/Center
Mental Health (Including Community Mental Health Center)
NC1538
Y103K00000X
NC1538
N251S00000XAgencies
Community/Behavioral Health
NC1538

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1083655773NC05
6107232NC05




HEALTH CARE JOBS AL - Page 1



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