Individual
JANUS FARAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
23463 E 774 RD, WELLING, OK 74471-2013
(918) 456-1673
Mailing address
23463 E 774 RD, WELLING, OK 74471-2013
(918) 456-1673
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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