Organization
ALICIA DIANE BARNES LCSW
Active
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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