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MRS. KENDRA BARTER MFT INTERN

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1174957013

Individual Registrant:
MRS. KENDRA  BARTER MFT INTERN
Gender: F
Sole Proprietor

Location and contact information for practice:
1904 RICHLAND AVE  CERES, CA 95307-4562 US
Tel: 209-541-2121  Fax: 209-541-2083

Contact information for business:
2113 SPRING OAK CT  MODESTO, CA 95355-1436 US
Tel: 209-596-1615  Fax: --

Registration Information:
NPI: 1174957013
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
CAIMF 66464

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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