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VIDA BARRETT
>> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1013498104
Individual Registrant: VIDA BARRETT
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
920 NOBLES FERRY RD LIVE OAK, FL 32064-8463 US
Tel: 352-374-5600 Fax: --
Tel: 352-374-5600 Fax: --
Contact information for business:
4300 SW 13TH ST GAINESVILLE, FL 32608-4006 US
Tel: 352-374-5600 Fax: --
Tel: 352-374-5600 Fax: --
Registration Information:
NPI: 1013498104
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101Y00000X | Behavioral Health & Social Service Providers Counselor |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
