Individual
MS. HEIDI M BARRETT-MCNERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CDCS, MAC
Contact information
Practice address
1944 E REZANOF DR, KODIAK, AK 99615-6601
(907) 654-4575
Mailing address
1994 E REZANOF DR, KODIAK, AK 99615-6952
(907) 942-1986
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3374
AK
1041C0700X
Clinical Social Worker
Primary
108107
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014987
MASTER ADDICTION COUNSELOR
VA
01
—
108107
LICENSED CLINICAL SOCIAL WORKER
AK
01
—
3374
CHEMICAL DEPENDENCY COUNSELOR SUPERVISOR
AK
Enumeration date
01/08/2010
Last updated
04/06/2024
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