Provider Demographics
NPI:1679810139
Name:BARNETT, SHANDA (LMFT)
Entity type:Individual
Prefix:MRS
First Name:SHANDA
Middle Name:
Last Name:BARNETT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MISS
Other - First Name:SHANDA
Other - Middle Name:
Other - Last Name:KARASEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:4263 CALIFORNIA BLVD
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-3503
Mailing Address - Country:US
Mailing Address - Phone:805-722-5524
Mailing Address - Fax:
Practice Address - Street 1:4263 CALIFORNIA BLVD
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455-3503
Practice Address - Country:US
Practice Address - Phone:805-722-5524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-03
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA96661106H00000X
CA71883101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist