Individual
MARK KENDRICK BARNES SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
625 NW 13TH ST, OKLAHOMA CITY, OK 73103-2239
(405) 601-2307
(405) 601-3317
Mailing address
625 NW 13TH ST, OKLAHOMA CITY, OK 73103-2239
(405) 601-2307
(405) 601-3317
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200077440A
—
OK
Enumeration date
08/12/2011
Last updated
08/12/2011
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