Provider Demographics
NPI:1639842495
Name:BARNWELL, JAREE' IVONE
Entity Type:Individual
Prefix:
First Name:JAREE'
Middle Name:IVONE
Last Name:BARNWELL
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 1:228 ROCCO AVE APT D
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-2940
Mailing Address - Country:US
Mailing Address - Phone:703-835-5294
Mailing Address - Fax:
Practice Address - Street 1:11 MIDDLEBROOK AVE
Practice Address - Street 2:
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-4233
Practice Address - Country:US
Practice Address - Phone:703-835-5294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty