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MR. LD BARNEY LADC, LADAC, SAP

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1134366784

Individual Registrant:
MR. LD  BARNEY LADC, LADAC, SAP
Gender: M
Sole Proprietor

Location and contact information for practice:
39 DEVIZIS DR  BELLA VISTA, AR 72714-3820 US
Tel: 479-268-4823  Fax: --

Contact information for business:
39 DEVIZIS DR  BELLA VISTA, AR 72714-3820 US
Tel: 479-268-4823  Fax: --

Registration Information:
NPI: 1134366784
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
OK342

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
LADAC0285LAR01
LICENSED ALCOHOL AND DRUG COUNSELOR342OK01




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