Individual
BRIAN BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
123 E AVENUE C, HEAVENER, OK 74937-2603
(918) 658-4016
Mailing address
PO BOX 91, CAMERON, OK 74932-0091
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
102790
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/13/2020
Last updated
12/28/2024
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