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NPI Code Detail

MEDICARE: MR. SHAWN W BARNETT L.A.C.

MEDICARE: MR. SHAWN W BARNETT L.A.C.
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
1101YA0400XAddiction (Substance Use Disorder) Counselor1254 LACMT

General Provider Information

NPI Number : 1649604877
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SHAWN W BARNETT L.A.C.
Provider Business Mailing Address
First Line : 795 SUNSET BLVD
Second Line :
City : KALISPELL
State : MT
Zip : 59901-3699
Country : US
Telephone Number : 406-260-4181
Fax Number : 406-260-4183
Provider Business Practice Location Address
First Line : 795 SUNSET BLVD
Second Line :
City : KALISPELL
State : MT
Zip : 59901-3699
Country : US
Telephone Number : 406-260-4181
Fax Number : 406-260-4183
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2013
Last Update Date : 08/23/2013

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