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MARVIN D BARNETT
>> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1265753479
Individual Registrant: MARVIN D BARNETT
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
2688 STATE HIGHWAY 77 S MARION, AR 72364-2373 US
Tel: 870-394-4643 Fax: 870-394-4646
Tel: 870-394-4643 Fax: 870-394-4646
Contact information for business:
602 N WALTON BLVD BENTONVILLE, AR 72712-4576 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1265753479
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101Y00000X | Behavioral Health & Social Service Providers Counselor | ||
| N | 171M00000X | Other Service Providers Case Manager/Care Coordinator |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
