Individual
IAN BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9051 W KELTON LN STE 13, PEORIA, AZ 85382-3533
(623) 815-5700
(623) 815-5759
Mailing address
2700 N CENTRAL AVE STE 1050, PHOENIX, AZ 85004-1217
(602) 376-3353
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW-18464
STATE LICENSE
AZ
Enumeration date
06/09/2022
Last updated
11/20/2024
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