Individual
JAMES GARNER BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDA
Contact information
Practice address
2275 W BROADWAY ST STE G, IDAHO FALLS, ID 83402-2902
(208) 821-7052
Mailing address
2275 W BROADWAY ST STE G, IDAHO FALLS, ID 83402-2902
(208) 821-7052
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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