Individual
DANIEL BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
Mailing address
1500 E WOODROW WILSON DR, 116A4, JACKSON, MS 39216
(601) 362-4471
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
581010
MS
103TA0400X
Addiction (Substance Use Disorder) Psychologist
581010
MS
Other
Enumeration date
10/17/2017
Last updated
06/07/2022
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