Jodie R Barnett, CADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Pekin, IL
NPI 1306804935 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1306804935
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 13770 (IL)
- Practice address
- 3248 Vandever Ave
Pekin, IL 61554 - Phone
- (309) 347-5522
- Fax
- (309) 347-4264
- NPI assigned
- May 3, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13770 | IL | MD | Doula |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13770 | IL | Yes |
Addresses
Primary practice location
3248 Vandever Ave
Pekin, IL 61554
Mailing address
3248 Vandever Ave
Pekin, IL 61554
Phone (309) 347-5522
Other providers in Pekin, IL
- Jenna Nicole Bahaj
- Brogan Edward Bahler
- Laura Balaban
- Sarah K Barker
- Adam Kyle Barnett
- Jolynn S Barrett
- Ashley Nicole Basel
- Ann E Bash
- Be Integrative Psychology, PLLC
- Jeannette Louise Becker
All providers in Pekin, IL · Addiction (Substance Use Disorder) Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.