Individual
JACQUELINE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3135 EUCLID AVE, CLEVELAND, OH 44115-2531
(216) 391-2030
(216) 391-8946
Mailing address
3135 EUCLID AVE, CLEVELAND, OH 44115-2531
(216) 391-2030
(216) 391-8946
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
965617
OH
Other
Enumeration date
07/17/2012
Last updated
07/24/2015
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