Individual
NICOLE DENICE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 450-4300
Mailing address
6655 FIRST PARK TEN BLVD, SUITE 222, SAN ANTONIO, TX 78213-4308
(210) 452-2503
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3017
NC
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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