Provider Demographics
NPI:1811291586
Name:BARNETT, BEN B (MS)
Entity type:Individual
Prefix:MR
First Name:BEN
Middle Name:B
Last Name:BARNETT
Suffix:
Gender:M
Credentials:MS
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Mailing Address - Street 1:3974 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:TAHLEQUAH
Mailing Address - State:OK
Mailing Address - Zip Code:74464-1297
Mailing Address - Country:US
Mailing Address - Phone:918-453-5504
Mailing Address - Fax:918-458-0499
Practice Address - Street 1:17091 S. MUSKOGEE AVE.
Practice Address - Street 2:
Practice Address - City:TAHLEQUAH
Practice Address - State:OK
Practice Address - Zip Code:74464
Practice Address - Country:US
Practice Address - Phone:918-453-5500
Practice Address - Fax:918-458-0499
Is Sole Proprietor?:No
Enumeration Date:2011-01-10
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)