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NPI Code Detail

MEDICARE: JESSICA BARKLOW

MEDICARE: JESSICA BARKLOW
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
1101Y00000XCounselor
2101YA0400XAddiction (Substance Use Disorder) Counselor
3101YM0800XMental Health Counselor
4171M00000XCase Manager/Care Coordinator
5225400000XRehabilitation Practitioner

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
156CCOTHERCAASPIRA

General Provider Information

NPI Number : 1982896171
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA BARKLOW
Provider Business Mailing Address
First Line : 3601 CALLE TECATE STE 201
Second Line :
City : CAMARILLO
State : CA
Zip : 93012-5056
Country : US
Telephone Number : 805-289-0120
Fax Number :
Provider Business Practice Location Address
First Line : 3601 CALLE TECATE STE 201
Second Line :
City : CAMARILLO
State : CA
Zip : 93012-5056
Country : US
Telephone Number : 805-289-0120
Fax Number : 805-289-0130
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2007
Last Update Date : 04/23/2025

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