Individual
SUZANNE H BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
310 E 6TH ST, ROOM 200 & 202, MEDFORD, OR 97501-5933
(541) 301-6714
Mailing address
523 STRAWBERRY LN, ASHLAND, OR 97520-2736
(541) 301-6714
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFC25312
CA
106H00000X
Marriage & Family Therapist
Primary
T0929
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500684288
—
OR
01
—
530811
MHN PROVIDER ID
OR
01
—
60054
AETNA PROVIDER ID
OR
Enumeration date
03/05/2014
Last updated
03/19/2017
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