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NPI Code Detail

MEDICARE: MEGAN BARNUM

MEDICARE: MEGAN BARNUM
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

General Provider Information

NPI Number : 1790489193
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN BARNUM
Provider Business Mailing Address
First Line : 3952 SAN FELIPE RD
Second Line :
City : SANTA FE
State : NM
Zip : 87507-8073
Country : US
Telephone Number : 505-471-8575
Fax Number :
Provider Business Practice Location Address
First Line : 3952 SAN FELIPE RD
Second Line :
City : SANTA FE
State : NM
Zip : 87507-8073
Country : US
Telephone Number : 505-471-8575
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2023
Last Update Date : 03/29/2023

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Directions to “ MEGAN BARNUM ” Practice Location

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