Individual
TIANNA MONE'T BARKSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3012 FALSTAFF RD, RALEIGH, NC 27610-1813
(919) 615-1027
Mailing address
2912 BASSWOOD DR, RALEIGH, NC 27610-5864
(434) 548-8991
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/31/2017
Last updated
05/31/2022
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