Provider Demographics
NPI:1821205022
Name:BARNES, WENONA RAY (PHD, LADC)
Entity Type:Individual
Prefix:MRS
First Name:WENONA
Middle Name:RAY
Last Name:BARNES
Suffix:
Gender:F
Credentials:PHD, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4045 NW 64TH ST
Mailing Address - Street 2:SUITE 501
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-1684
Mailing Address - Country:US
Mailing Address - Phone:405-840-5252
Mailing Address - Fax:405-840-1256
Practice Address - Street 1:4045 NW 64TH ST
Practice Address - Street 2:SUITE 501
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-1684
Practice Address - Country:US
Practice Address - Phone:405-840-5252
Practice Address - Fax:405-840-1256
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK13101YA0400X
OK95-249101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral