Healthcare Provider Details
I. General information
NPI: 1821575820
Provider Name (Legal Business Name): DEBBIE BARNES CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/23/2018
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
321 ST. MARKS ST. #19
REDDING CA
96003
US
IV. Provider business mailing address
321 ST. MARKS ST. #19
REDDING CA
96003
US
V. Phone/Fax
- Phone: 405-694-9803
- Fax:
- Phone: 405-694-9803
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | 1275 |
| License Number State | OK |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 1275 |
| License Number State | OK |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: