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Edwin Kirk Ballard
Mental Health Counselor in Durant, Oklahoma
NPI 1104268523

Edwin Kirk Ballard is a Mental Health Counselor based in Durant, OK and is specialized in Mental Health. Edwin Kirk Ballard practices in Durant, OK. The NPI Number for Edwin Kirk Ballard is 1104268523 and holds a License No. (Oklahoma).

The current practice location address for Edwin Kirk Ballard is 1604 N Washington Ave, Durant, OK and can be reached out via phone at 580-920-0909.

Location: 1604 N Washington Ave, Durant, OK, 74701-2128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104268523
Provider Name
Edwin Kirk Ballard
Credential
Provider Entity Type
Individual
Gender
Male
Address
1604 N Washington Ave, Durant, OK, 74701-2128
Phone Number
580-920-0909
Fax Number
Provider Enumeration Date
07/26/2013
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
1604 N Washington Ave
City
Durant
State
Oklahoma
Zip
74701-2128
Phone Number
580-920-0909
Fax Number
person
Provider Business Mailing Address Details
Address
1604 N Washington Ave
City
Durant
State
Oklahoma
Zip
74701-2128
Phone Number
580-920-0909
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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