Provider Demographics
NPI:1083932560
Name:BARNHART, JOHN RAYMOND JR (LPC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:RAYMOND
Last Name:BARNHART
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1430
Mailing Address - Street 2:
Mailing Address - City:BRAZORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77422-1430
Mailing Address - Country:US
Mailing Address - Phone:979-798-0781
Mailing Address - Fax:
Practice Address - Street 1:100 E SAN BERNARD ST
Practice Address - Street 2:
Practice Address - City:BRAZORIA
Practice Address - State:TX
Practice Address - Zip Code:77422-5647
Practice Address - Country:US
Practice Address - Phone:281-485-9280
Practice Address - Fax:281-485-9070
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-09
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61838101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health