Individual
MR. JASON MICHAEL BARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
7902 FINGERBOARD RD BLDG C, FREDERICK, MD 21704-7629
(301) 874-4701
Mailing address
143 BERTIE AVE, WESTMINSTER, MD 21157-6901
(410) 871-2360
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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