Individual
R ELAINE BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6100 S WALKER AVE, OKLAHOMA CITY, OK 73139-7026
(405) 510-3728
Mailing address
909 ALAMEDA ST, NORMAN, OK 73071-5229
(405) 573-6414
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
3193
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200394310A
—
OK
Enumeration date
10/28/2011
Last updated
05/03/2024
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