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NPI Code Detail

MEDICARE: MRS. DARLENE IDA BARTON MFT INTERN

MEDICARE: MRS. DARLENE IDA BARTON MFT INTERN
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
1106H00000XMarriage & Family TherapistMFT INTERN42659CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10920OTHERCAMEDICAL

General Provider Information

NPI Number : 1659483717
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DARLENE IDA BARTON MFT INTERN
Provider Business Mailing Address
First Line : 6147 SUTTER AVE
Second Line :
City : CARMICHAEL
State : CA
Zip : 95608-2738
Country : US
Telephone Number : 916-971-7640
Fax Number :
Provider Business Practice Location Address
First Line : 6147 SUTTER AVE
Second Line :
City : CARMICHAEL
State : CA
Zip : 95608-2738
Country : US
Telephone Number : 916-971-7640
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. DARLENE IDA BARTON MFT INTERN” Practice Location

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