Individual
MR. JASON MICHAEL BARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LC 1447
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
LC 1447
MD
101YP2500X
Professional Counselor
Primary
LC 1447
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402961500
—
MD
Enumeration date
08/30/2006
Last updated
09/12/2023
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