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MR. LD BARNEY LADC, LADAC, SAP
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1134366784
Individual Registrant:MR. LD BARNEY LADC, LADAC, SAP
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
39 DEVIZIS DR BELLA VISTA, AR 72714-3820 US
Tel: 479-268-4823 Fax: --
Tel: 479-268-4823 Fax: --
Contact information for business:
39 DEVIZIS DR BELLA VISTA, AR 72714-3820 US
Tel: 479-268-4823 Fax: --
Tel: 479-268-4823 Fax: --
Registration Information:
NPI: 1134366784
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | OK | 342 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| LADAC | 0285L | AR | 01 |
| LICENSED ALCOHOL AND DRUG COUNSELOR | 342 | OK | 01 |
