Provider Demographics
NPI:1356558308
Name:BARRIOS, EARL JOSEPH JR (MS)
Entity type:Individual
Prefix:MR
First Name:EARL
Middle Name:JOSEPH
Last Name:BARRIOS
Suffix:JR
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1358 JONATHAN PL
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95377-8217
Mailing Address - Country:US
Mailing Address - Phone:209-607-0455
Mailing Address - Fax:
Practice Address - Street 1:35 E 10TH ST STE B1
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95376-4063
Practice Address - Country:US
Practice Address - Phone:209-607-0455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA229101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health