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Individual

JAMES E BARTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CP00001342

Contact information

Practice address
201 E LINCOLN AVE STE 100, YAKIMA, WA 98901-2348
(509) 457-5653
Mailing address
PO BOX 1207, YAKIMA, WA 98907-1207
(509) 457-5653
(509) 457-3107

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00001342
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CP00001342
CHEMICAL DEPENDENCY PROFESSIONAL CERTIFICATION
WA
Enumeration date
09/11/2017
Last updated
09/11/2017
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