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Individual

JONATHAN DANIEL BARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCMHCA

Contact information

Practice address
6604 SIX FORKS RD STE 101, RALEIGH, NC 27615-6521
(984) 235-2545
Mailing address
1721 DALLAS ST, RALEIGH, NC 27610-2705
(336) 848-1021

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A20068
NC

Other

Enumeration date
06/03/2024
Last updated
06/03/2024
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