Provider Demographics
NPI:1689058828
Name:BARNES, JON WESLEY (MA, LPC)
Entity Type:Individual
Prefix:
First Name:JON
Middle Name:WESLEY
Last Name:BARNES
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7460 GOLDEN POND PL
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79121-1955
Mailing Address - Country:US
Mailing Address - Phone:806-379-8282
Mailing Address - Fax:806-358-4488
Practice Address - Street 1:7460 GOLDEN POND PL
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79121-1955
Practice Address - Country:US
Practice Address - Phone:806-379-8282
Practice Address - Fax:806-358-4488
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-17
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67454101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional