MEDICARE: MONICA 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
1	101YP2500X	Professional Counselor	MI1224	NV

General Provider Information

NPI Number	:	1033410774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA BARNES

Provider Business Mailing Address
First Line	:	2566 HAZELBURN AVE
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89044-1719
Country	:	US
Telephone Number	:	702-810-0704
Fax Number	:

Provider Business Practice Location Address
First Line	:	4417 W LAKE MEAD BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-2831
Country	:	US
Telephone Number	:	702-810-0704
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2010
Last Update Date	:	09/22/2021

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Directions to “ MONICA BARNES ” Practice Location

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