Individual
MICHELLE BARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDRC
Contact information
Practice address
1525 UNION AVE, FAIRFIELD, CA 94533-5049
(707) 399-9190
Mailing address
609 JEFFERSON ST, FAIRFIELD, CA 94533-6293
(707) 399-9190
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
17035
CA
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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