Organization
JADE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIE ALEXA DAWN BARNES PHD (PSYCHOLOGIST)
(479) 719-7847
Entity
Organization
Contact information
Practice address
609 W REDWOOD AVE, SALLISAW, OK 74955-2427
(479) 719-7847
Mailing address
609 W REDWOOD AVE, SALLISAW, OK 74955-2427
(479) 719-7847
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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