Barron, Dale Gene

Barron, Dale Gene is an individual health care provider with primary practice located at 1900 Silver Lake Rd Nw Suite 110, New Brighton MN 55112-1786. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Barron, Dale Gene can be contacted via phone (651) 628-9566.

Contact Information

Primary practice address
1900 Silver Lake Rd Nw Suite 110 New Brighton MN 55112-1786
Phone: (651) 628-9566
Fax: (651) 628-0411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0190 Minnesota
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP0111 Minnesota

Profile Details

NPI number 1366467052
LBN Legal business name Barron, Dale Gene
Credentials MA, LP, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Feb 27th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366467052 NPPES
Minnesota MEDICAID 803248300

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