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Individual

TANIA LEE BARNHART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CO60188340

Contact information

Practice address
414 4TH AVE NE, DEVILS LAKE, ND 58301-2458
(701) 662-6767
Mailing address
414 4TH AVE NE, DEVILS LAKE, ND 58301-2458
(701) 662-6767

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60188340
WA
171M00000X
Case Manager/Care Coordinator
Primary
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1045917
WA
Enumeration date
09/19/2012
Last updated
02/28/2023
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