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Provider Information for 1689058828


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JON WESLEY BARNES MA, LPC


Sex: Male

NPI: 1689058828
Last Updated: 2015-07-17
Certification Date:

Details

NameValue
NPI1689058828
Enumeration Date2015-07-17
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 7460 GOLDEN POND PL
AMARILLO, TX 79121-1955
United States

Phone: 806-379-8282 | Fax:806-358-4488
 
Primary Practice Address 7460 GOLDEN POND PL
AMARILLO, TX 79121-1955
United States

Phone: 806-379-8282 | Fax:806-358-4488
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalTX67454