Individual provider · Type 1 NPI

Bruce Allen Ballou, BS

Addiction (Substance Use Disorder) Counselor · Lawton, OK

NPI number 1982831186 Active

Practice location

1202 SW A Ave
Lawton, OK 73501-3821

Call (580) 357-8114 Map

Fax (580) 357-0079

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1982831186

Bruce Allen Ballou, BS's National Provider Identifier is 1982831186, issued on Jun 15, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lawton, OK. The record was last updated on Jun 15, 2009.