Provider Demographics
NPI:1639398209
Name:GULLION, BARBARA JEAN (BA)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:JEAN
Last Name:GULLION
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 67 BOX 90
Mailing Address - Street 2:ARROWHEAD ESTATES
Mailing Address - City:CANADIAN
Mailing Address - State:OK
Mailing Address - Zip Code:74425-9707
Mailing Address - Country:US
Mailing Address - Phone:918-339-4625
Mailing Address - Fax:
Practice Address - Street 1:119 MCKINLEY ST
Practice Address - Street 2:
Practice Address - City:EUFAULA
Practice Address - State:OK
Practice Address - Zip Code:74432-3052
Practice Address - Country:US
Practice Address - Phone:918-689-3265
Practice Address - Fax:918-689-3359
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)