Healthcare Provider Details

I. General information

NPI: 1457496762
Provider Name (Legal Business Name): JUNE KYLE BARNETT MA, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 11/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9599 SUMMER HILL RD
CALIFORNIA KY
41007-9055
US

IV. Provider business mailing address

1889 MUSKEGON DR
CINCINNATI OH
45255-2675
US

V. Phone/Fax

Practice location:
  • Phone: 859-635-0500
  • Fax: 859-635-0504
Mailing address:
  • Phone: 513-235-6494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number103045
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: