Individual
BRICE CLEVELAND BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
123 E AVENUE C, HEAVENER, OK 74937-2603
(918) 653-2543
Mailing address
109 DOGWOOD AVE, POTEAU, OK 74953-2269
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
OK
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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