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NPI Code Detail

MEDICARE: VANESSA BARRETT

MEDICARE: VANESSA BARRETT
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
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1194058016
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA BARRETT
Provider Business Mailing Address
First Line : 711 COLORADO AVE
Second Line :
City : PALO ALTO
State : CA
Zip : 94303-3912
Country : US
Telephone Number : 650-938-3600
Fax Number :
Provider Business Practice Location Address
First Line : 711 COLORADO AVE
Second Line :
City : PALO ALTO
State : CA
Zip : 94303-3912
Country : US
Telephone Number : 650-938-3600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2009
Last Update Date : 08/17/2023

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Directions to “ VANESSA BARRETT ” Practice Location

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