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NPI Code Detail

MEDICARE: ERICA BARTON

MEDICARE:   ERICA  BARTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2101YP2500XProfessional CounselorPPC-1015WY

General Provider Information

NPI Number : 1023505427
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA BARTON
Provider Business Mailing Address
First Line : 1575 N 4TH ST STE 103
Second Line :
City : LARAMIE
State : WY
Zip : 82072-2091
Country : US
Telephone Number : 307-721-0700
Fax Number :
Provider Business Practice Location Address
First Line : 1915 NE STUCKI AVE STE 308
Second Line :
City : HILLSBORO
State : OR
Zip : 97006-6951
Country : US
Telephone Number : 541-223-9133
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2018
Last Update Date : 12/19/2023

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Directions to “ ERICA BARTON ” Practice Location

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