Individual
MS. JEANETTE T. BARNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
45 FOREST FALLS DR, SUITE 2B, YARMOUTH, ME 04096-6999
(207) 846-7755
(207) 846-7756
Mailing address
45 FOREST FALLS DR, SUITE 2B, YARMOUTH, ME 04096-6999
(207) 846-7755
(207) 846-7756
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC3393
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039004
ANTHEM ID #
ME
01
—
7507211
AETNA PROVIDER PIN
ME
Enumeration date
10/05/2006
Last updated
07/08/2007
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