Organization
ALICIA DIANE BARNES LCSW
Active
Other names
Grace Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICIA DIANE BARNES LCSW (SOLE PROPRIETOR)
(573) 353-2201
Entity
Organization
Contact information
Practice address
718 W MCCARTY ST, JEFFERSON CITY, MO 65101-1544
(573) 353-2201
(573) 636-5881
Mailing address
718 W MCCARTY ST, JEFFERSON CITY, MO 65101-1544
(573) 353-2201
(573) 636-5881
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004760
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881604676
—
MO
Enumeration date
02/21/2014
Last updated
05/13/2014
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