Provider Demographics
NPI:1083437529
Name:BARKS, DAVID (AMFT)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:BARKS
Suffix:
Gender:M
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-1521
Mailing Address - Country:US
Mailing Address - Phone:805-407-1581
Mailing Address - Fax:
Practice Address - Street 1:924 ANACAPA ST STE 3I
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-7107
Practice Address - Country:US
Practice Address - Phone:805-364-3182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA144804101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health