Provider Demographics
NPI:1215633052
Name:BARHAM, SARAH JANE (BS, CADAC II)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE
Last Name:BARHAM
Suffix:
Gender:F
Credentials:BS, CADAC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3723 S DEARBORN ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46237-1238
Mailing Address - Country:US
Mailing Address - Phone:317-439-6718
Mailing Address - Fax:
Practice Address - Street 1:3723 S DEARBORN ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46237-1238
Practice Address - Country:US
Practice Address - Phone:317-439-6718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-02
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)