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NPI Code Detail

MEDICARE: JULISSA BARTON

MEDICARE: JULISSA BARTON
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
1101YA0400XAddiction (Substance Use Disorder) Counselor5923-RCA

General Provider Information

NPI Number : 1366803850
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULISSA BARTON
Provider Business Mailing Address
First Line : 2971 W 8TH ST
Second Line : APT 115
City : LOS ANGELES
State : CA
Zip : 90005-1547
Country : US
Telephone Number : 562-200-7311
Fax Number :
Provider Business Practice Location Address
First Line : 2001 RIVER AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90810-3622
Country : US
Telephone Number : 562-200-7311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2016
Last Update Date : 03/11/2016

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Directions to “ JULISSA BARTON ” Practice Location

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