Jaclyn Barner, LAC
Individual provider Active NPI Counselor · Newport, AR
NPI 1992976294 · NPPES record last updated Oct 8, 2008
Key facts
- NPI
- 1992976294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- A0602009 (AR)
- Practice address
- 210 Third St
Newport, AR 72112-3302 - Phone
- (870) 523-9496
- NPI assigned
- Mar 14, 2008
- 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 |
|---|---|---|---|
| A0602009 | AR | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | A0602009 | AR | Yes |
Addresses
Primary practice location
210 Third St
Newport, AR 72112-3302
Mailing address
PO Box 1589
Benton, AR 72018-1589
Phone (501) 315-3344
Other providers in Newport, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2008. 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.