Individual
BETTY A BARNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
45 EXECUTIVE DR, JACKSON, TN 38305-2337
(731) 664-2083
(731) 664-1988
Mailing address
45 EXECUTIVE DR, JACKSON, TN 38305-2337
(731) 664-2083
(731) 664-1988
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LPC1759
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512073
—
TN
01
—
IB4222313
BCBS
TN
Enumeration date
03/17/2009
Last updated
10/25/2011
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