Brenda Geraldine Barker
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Granite City, IL
NPI 1659702017 · NPPES record last updated Dec 10, 2013
Key facts
- NPI
- 1659702017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 50 Northgate Industrial Dr
Granite City, IL 62040-6805 - Phone
- (618) 877-4420
- NPI assigned
- Dec 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
50 Northgate Industrial Dr
Granite City, IL 62040-6805
Mailing address
50 Northgate Industrial Dr
Granite City, IL 62040-6805
Phone (618) 877-4420
Other providers in Granite City, IL
- Apex Physical Therapy LLC
- Jeffrey D Arendell
- Brent Andrew Asher
- Jamie Lynn Baker
- Karen Jo Barber
- Emily Sara Barker
- Lainie Joy Barron
- Amanda June Basham
- Ty Bechel
- Laurie B Beebe
All providers in Granite City, 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 Dec 10, 2013. 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.