Individual
BETH BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1370 S STATE ST STE A, SAN JACINTO, CA 92583-4922
(951) 791-3350
(951) 791-3353
Mailing address
1370 S STATE ST STE A, SAN JACINTO, CA 92583-4922
(951) 791-3350
(951) 791-3353
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
B1302262056
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/18/2014
Last updated
04/18/2024
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