MEDICARE: JOHN BARNETT

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
1	106H00000X	Marriage & Family Therapist	8051	SC

General Provider Information

NPI Number	:	1194439190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN BARNETT

Provider Business Mailing Address
First Line	:	2510A WADE HAMPTON BLVD
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-1148
Country	:	US
Telephone Number	:	864-509-0774
Fax Number	:

Provider Business Practice Location Address
First Line	:	2510A WADE HAMPTON BLVD
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-1148
Country	:	US
Telephone Number	:	864-509-0774
Fax Number	:	877-629-7598

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2023
Last Update Date	:	12/11/2023

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Directions to “ JOHN BARNETT ” Practice Location

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