Individual
JENNIFER BARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-R
Contact information
Practice address
2040A PUBLIC SQUARE CT, NORTH BEND, OR 97459-1253
(541) 808-3553
Mailing address
2040A PUBLIC SQUARE CT, NORTH BEND, OR 97459-1253
(541) 808-3553
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19-CRM-177
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-20-132
OR
Other
Enumeration date
08/20/2019
Last updated
08/26/2022
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