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NPI Code Detail

MEDICARE: HEATHER L BARRAND

MEDICARE:   HEATHER L BARRAND
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
2171M00000XCase Manager/Care CoordinatorCDCA.172628OH

General Provider Information

NPI Number : 1306487418
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER L BARRAND
Provider Business Mailing Address
First Line : 3170 W CENTRAL AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43606-2945
Country : US
Telephone Number : 419-720-1876
Fax Number : 567-316-7232
Provider Business Practice Location Address
First Line : 3170 W CENTRAL AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43606-2945
Country : US
Telephone Number : 419-720-1876
Fax Number : 567-316-7232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2019
Last Update Date : 01/27/2020

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