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Individual

JOHNATHAN WEST BARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, ASCW

Contact information

Practice address
31764 CASINO DR, STE 300, LAKE ELSINORE, CA 92530-4571
(951) 471-4645
(951) 471-4687
Mailing address
31764 CASINO DR, STE 300, LAKE ELSINORE, CA 92530-4571
(951) 471-4645
(951) 471-4687

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
104100000X
Social Worker
Primary
ASW71218
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7068
CA
Enumeration date
10/21/2008
Last updated
06/14/2016
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