Individual provider · Type 1 NPI

Gabrielle Evangeline Barnes, MCP, LADC/MH

Addiction (Substance Use Disorder) Counselor · Ponca City, OK

NPI number 1679096952 Active

Practice location

200 White Eagle Dr
Ponca City, OK 74601-8315

Mailing address

620 W Grand Ave
Ponca City, OK 74601-5123

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1421 (OK)
Counselor 101Y00000X1421 (OK)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1679096952

Gabrielle Evangeline Barnes, MCP, LADC/MH's National Provider Identifier is 1679096952, issued on Jul 19, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ponca City, OK. The record was last updated on Feb 28, 2024.