Individual
JOEL JONATHAN BARRIENTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS ED
Contact information
Practice address
904 E MARTIN LUTHER KING JR DR, CENTRALIA, IL 62801-3720
(618) 533-1391
Mailing address
904 E MARTIN LUTHER KING JR DR, CENTRALIA, IL 62801-3720
(618) 533-1391
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370915481007
—
IL
Enumeration date
01/08/2015
Last updated
01/23/2015
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