Barrientos, Joel Jonathan
Barrientos, Joel Jonathan is an individual health care provider with primary practice located at 904 E Martin Luther King Jr Dr , Centralia IL 62801-3720. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Barrientos, Joel Jonathan can be contacted via phone (618) 533-1391.Contact Information
Primary practice address
904 E Martin Luther King Jr Dr
Centralia IL 62801-3720
Phone: (618) 533-1391
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1982092227 |
|---|---|
| LBN Legal business name | Barrientos, Joel Jonathan |
| Credentials | MS ED |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2015 |
| Last updated | Jan 23rd, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982092227 | NPPES |
| Illinois | MEDICAID | 370915481007 |
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