Provider Demographics
NPI:1801197611
Name:BARNETT, TAMAR REENA (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:TAMAR
Middle Name:REENA
Last Name:BARNETT
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:849 QUINCE ORCHARD BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1678
Mailing Address - Country:US
Mailing Address - Phone:240-274-5680
Mailing Address - Fax:240-715-9698
Practice Address - Street 1:849 QUINCE ORCHARD BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-1678
Practice Address - Country:US
Practice Address - Phone:240-274-5680
Practice Address - Fax:240-715-9698
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-10
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC3440101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional