Individual
MR. BRIAN BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSWA, MAC, CADC III
Contact information
Practice address
727 W BURNSIDE ST, PORTLAND, OR 97209-3514
(971) 271-6142
Mailing address
727 W BURNSIDE ST, PORTLAND, OR 97209-3514
(971) 271-6142
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15-05-17
OR
101YM0800X
Mental Health Counselor
—
OR
1041C0700X
Clinical Social Worker
A4604
OR
Other
Enumeration date
07/24/2012
Last updated
12/18/2016
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