Provider Demographics
NPI:1518282334
Name:BARNES, DIANNE RENEE (LPCC,LPAT,ATR-BC,NCC)
Entity Type:Individual
Prefix:MS
First Name:DIANNE
Middle Name:RENEE
Last Name:BARNES
Suffix:
Gender:F
Credentials:LPCC,LPAT,ATR-BC,NCC
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 22005
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87154-2005
Mailing Address - Country:US
Mailing Address - Phone:505-492-5128
Mailing Address - Fax:
Practice Address - Street 1:7013 4TH ST NW
Practice Address - Street 2:DIANNE BARNES LPCC LPAT
Practice Address - City:LOS RANCHOS
Practice Address - State:NM
Practice Address - Zip Code:87107-6639
Practice Address - Country:US
Practice Address - Phone:505-492-5128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-05
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM122891101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor