Dovie Barnett

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Stanton, CA

NPI 1245914951 · NPPES record last updated Jun 28, 2023

Key facts

NPI
1245914951
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
R1492721222 (CA)
Practice address
10751 Dale Ave
Stanton, CA 90680-2604
Phone
(714) 821-5311
Fax
(714) 821-6302
NPI assigned
Jun 13, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
R1492721222CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Western Pacific Med-Corp Past
since Jun 18, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X R1492721222 CA Yes

Addresses

Primary practice location

10751 Dale Ave
Stanton, CA 90680-2604

Mailing address

1950 E 17TH St Ste 150
Santa Ana, CA 92705-6852
Phone (714) 470-9044

Other providers in Stanton, CA

All providers in Stanton, CA · Addiction (Substance Use Disorder) Counselor in California

Sources for this page

Verify at the official NPI Registry.