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Individual

MR. KENT DOUGLAS BARNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BS, LADC

Contact information

Practice address
505 S WASHBURN ST, OSHKOSH, WI 54904-7949
(920) 232-2332
(920) 232-2338
Mailing address
505 S WASHBURN ST, OSHKOSH, WI 54904-7949
(920) 232-2332
(920) 232-2338

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302873
MN

Other

Enumeration date
04/06/2011
Last updated
07/16/2020
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