Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 005308 | NY |
N | 101YP2500X | Professional Counselor | 8823 | NC |
N | 101YP2500X | Professional Counselor | LPC006295 | GA |
NPI | 1003055500 |
---|---|
Provider Name | Raymond Barrett |
First Address | Canandaigua, NY 14424-1749 |
Second Address | Canandaigua, NY 14424-2246 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2009 |
Last Update Date | 02/10/2014 |