Individual
ALICIA DIANE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
204 METRO DR, SUITE B, JEFFERSON CITY, MO 65109-4408
(573) 634-4591
(573) 634-4792
Mailing address
5107 S BROOKS DR, UNITE A, JEFFERSON CITY, MO 65109-0466
(573) 634-4591
(573) 634-4792
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
004760
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467597872
JEFF CITY NPI
MO
01
—
1649269622
BILLING NPI
MO
Enumeration date
08/08/2006
Last updated
07/13/2007
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