Provider Demographics
NPI:1053446294
Name:BARRETTO, JENNIFER LYNN
Entity Type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:LYNN
Last Name:BARRETTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 JULLIEN DR
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-5406
Mailing Address - Country:US
Mailing Address - Phone:805-937-2032
Mailing Address - Fax:
Practice Address - Street 1:604 E OCEAN AVE
Practice Address - Street 2:
Practice Address - City:LOMPOC
Practice Address - State:CA
Practice Address - Zip Code:93436-6925
Practice Address - Country:US
Practice Address - Phone:805-736-0357
Practice Address - Fax:805-737-0389
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)