Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 335 | OK |
N | 101YP2500X | Professional Counselor | 1624 | OK |
NPI | 1013050210 |
---|---|
Provider Name | Rebecca Barker |
First Address | Tulsa, OK 74145-5835 |
Second Address | Tulsa, OK 74135-3071 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2007 |
Last Update Date | 08/07/2007 |