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NPI Code Detail

MEDICARE: CASSANDRA BARNES

MEDICARE: CASSANDRA BARNES
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) CounselorBBH-LAC-LIC-43347MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PKP4002157OTHERMTEMPLOYER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689292351
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA BARNES
Provider Business Mailing Address
First Line : 1125 BROADWATER AVE
Second Line :
City : BILLINGS
State : MT
Zip : 59102-5412
Country : US
Telephone Number : 406-701-2100
Fax Number :
Provider Business Practice Location Address
First Line : 1125 BROADWATER AVE
Second Line :
City : BILLINGS
State : MT
Zip : 59102-5412
Country : US
Telephone Number : 406-701-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2020
Last Update Date : 05/20/2024

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Directions to “ CASSANDRA BARNES ” Practice Location

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