Provider Demographics
NPI:1861545394
Name:BARNARD, JOSEPH DAN (LPC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:DAN
Last Name:BARNARD
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 NORTH ANDERSON DRIVE
Mailing Address - Street 2:P O BOX 1259
Mailing Address - City:SWAINSBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30401
Mailing Address - Country:US
Mailing Address - Phone:478-289-2522
Mailing Address - Fax:478-289-2544
Practice Address - Street 1:223 NORTH ANDERSON DRIVE
Practice Address - Street 2:
Practice Address - City:SWAINSBORO
Practice Address - State:GA
Practice Address - Zip Code:30401-1259
Practice Address - Country:US
Practice Address - Phone:478-289-2522
Practice Address - Fax:478-289-2544
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC003824101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional