MEDICARE: KATHRYN E BARNETT M. ED, LPC

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	101Y00000X	Counselor	3715	SC

General Provider Information

NPI Number	:	1790783983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN E BARNETT M. ED, LPC

Provider Business Mailing Address
First Line	:	PO BOX 3174
Second Line	:
City	:	EASLEY
State	:	SC
Zip	:	29641-3174
Country	:	US
Telephone Number	:	864-855-4080
Fax Number	:	864-855-1890

Provider Business Practice Location Address
First Line	:	1739 POWDERSVILLE ROAD
Second Line	:	SUITE C
City	:	EASLEY
State	:	SC
Zip	:	29642-1980
Country	:	US
Telephone Number	:	864-855-4080
Fax Number	:	864-855-1890

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

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	07/08/2007

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