Individual
ASHADIEEYAH LATIFA KARIMA BARAKAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
441 S HAM LN STE A, LODI, CA 95242-3525
(209) 224-8940
Mailing address
441 S HAM LN STE A, LODI, CA 95242-3525
(209) 244-8940
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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