Provider Demographics
NPI:1205538600
Name:BARRIOS, JULIO ALBERTO (MA, LAC, EDS)
Entity type:Individual
Prefix:
First Name:JULIO
Middle Name:ALBERTO
Last Name:BARRIOS
Suffix:
Gender:M
Credentials:MA, LAC, EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 BREAKNECK RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07422-1613
Mailing Address - Country:US
Mailing Address - Phone:785-554-7060
Mailing Address - Fax:
Practice Address - Street 1:184 BREAKNECK RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07422-1613
Practice Address - Country:US
Practice Address - Phone:786-554-8070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00693000101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty