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NPI Code Detail

MEDICARE: JESSE BARRINGTON HOMAN MS

MEDICARE: JESSE BARRINGTON HOMAN MS
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

General Provider Information

NPI Number : 1801100664
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSE BARRINGTON HOMAN MS
Provider Business Mailing Address
First Line : 1649 ROBINSON CIR
Second Line :
City : CINCINNATI
State : OH
Zip : 45223-1511
Country : US
Telephone Number : 310-866-1166
Fax Number :
Provider Business Practice Location Address
First Line : 2142 ALPINE PL
Second Line :
City : CINCINNATI
State : OH
Zip : 45206-3214
Country : US
Telephone Number : 503-395-4267
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2010
Last Update Date : 12/20/2018

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