Individual
TIJUANNA BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
3 COMMERCIAL PL, NEWBURGH, NY 12550-5306
(845) 220-2146
(845) 220-2085
Mailing address
3 COMMERCIAL PL, NEWBURGH, NY 12550-5306
(845) 220-2146
(845) 220-2085
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
160111642
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27854
OASIS
NY
Enumeration date
12/09/2015
Last updated
12/09/2015
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