Provider Demographics
NPI:1033379250
Name:BARRON, ALBERT BERNARD (CSAC)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:BERNARD
Last Name:BARRON
Suffix:
Gender:M
Credentials:CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 CASHWELL DR STE 3
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-4492
Mailing Address - Country:US
Mailing Address - Phone:919-751-8989
Mailing Address - Fax:919-751-1616
Practice Address - Street 1:3300 CASHWELL DR STE 3
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-4492
Practice Address - Country:US
Practice Address - Phone:919-751-8989
Practice Address - Fax:919-751-1616
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-11
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2115101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)