Individual
DR. JENNIE ALEXA DAWN BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LPC
Contact information
Practice address
301 S J T STITES ST, SALLISAW, OK 74955-9302
(918) 775-9150
(918) 775-4778
Mailing address
301 S J T STITES ST, SALLISAW, OK 74955-9302
(918) 775-9150
(918) 775-4778
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7120
OK
103TC1900X
Counseling Psychologist
Primary
1400
OK
Other
Enumeration date
05/30/2013
Last updated
05/19/2022
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