Individual
MR. LD BARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC, LADAC, SAP
Contact information
Practice address
39 DEVIZIS DR, BELLA VISTA, AR 72714-3820
(479) 268-4823
Mailing address
39 DEVIZIS DR, BELLA VISTA, AR 72714-3820
(479) 268-4823
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
342
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0285L
LADAC
AR
01
—
342
LICENSED ALCOHOL AND DRUG COUNSELOR
OK
Enumeration date
01/18/2009
Last updated
04/23/2015
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