Individual provider · Type 1 NPI

Kelli Ballard

Mental Health Counselor · Tahlequah, OK

NPI number 1508167578 Active

Practice location

19600 E Ross St
Tahlequah, OK 74464-0545

Mailing address

619 N Main St
Muskogee, OK 74401-4431

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1508167578

Kelli Ballard's National Provider Identifier is 1508167578, issued on Nov 8, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tahlequah, OK. The record was last updated on Jun 25, 2021.