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NPI Code Detail

MEDICARE: JESSICA MARIE BARNES LPCC

MEDICARE: JESSICA MARIE BARNES LPCC
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 CounselorCC01168MN

General Provider Information

NPI Number : 1134581218
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA MARIE BARNES LPCC
Provider Business Mailing Address
First Line : 100 WASHINGTON AVENUE S
Second Line : 900
City : MINNEAPOLIS
State : MN
Zip : 55401
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 WASHINGTON AVE S STE 900
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55401-2455
Country : US
Telephone Number : 800-925-3368
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2016
Last Update Date : 03/17/2018

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Directions to “ JESSICA MARIE BARNES LPCC” Practice Location

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