Individual
DR. MARC W BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D, CADAC IV
Contact information
Practice address
2821 HILLEGAS RD, FORT WAYNE, IN 46808-3859
(260) 471-1950
(260) 471-1950
Mailing address
3518 MAXIM DR, FORT WAYNE, IN 46815-6131
(260) 385-0513
(866) 799-4012
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
103T00000X
Psychologist
—
—
103TE1100X
Exercise & Sports Psychologist
—
—
103TF0000X
Family Psychologist
Primary
—
—
Other
Enumeration date
10/10/2006
Last updated
09/11/2025
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