La Tasha Nicole Barnes-Carney
Social Worker, Clinical in Jackson, MI. Individual provider (NPI-1).
NPI number1558087809
StatusActive
Last updated in NPPESOct 18, 2022
Details
- NPI
- 1558087809
- Entity type
- Individual (NPI-1)
- Name
- Mrs. La Tasha Nicole Barnes-Carney
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 18, 2022
- Certification date
- Oct 18, 2022
- Last updated
- Oct 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6851115681 | MI | Yes |
Practice location
1200 N West AveJackson, MI 49202-2179
Phone 517-395-0365
Mailing address
1200 N West AveJackson, MI 49202-2179
Phone 517-395-0365
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