Provider Demographics
NPI:1114352317
Name:HUGHES, BARRY (NONE)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:
Last Name:HUGHES
Suffix:
Gender:M
Credentials:NONE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 OGLE ST
Mailing Address - Street 2:#B
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-3821
Mailing Address - Country:US
Mailing Address - Phone:949-337-0308
Mailing Address - Fax:
Practice Address - Street 1:221 OGLE ST
Practice Address - Street 2:#B
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92627-3821
Practice Address - Country:US
Practice Address - Phone:949-337-0308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-06
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor