Individual
JESSE BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
162673
AK
104100000X
Social Worker
Primary
162673
AK
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/25/2018
Last updated
01/26/2021
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