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Rocky Bryan Ballard
Peer Specialist in Muskogee, Oklahoma
NPI 1194597013

Rocky Bryan Ballard is a Peer Specialist based in Muskogee, OK. Rocky Bryan Ballard practices in Muskogee, OK. The NPI Number for Rocky Bryan Ballard is 1194597013 and holds a License No. (Oklahoma).

The current practice location address for Rocky Bryan Ballard is 4009 Eufaula Ave, Muskogee, OK and can be reached out via phone at 191-868-2284.

Location: 4009 Eufaula Ave, Muskogee, OK, 74401-3112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194597013
Provider Name
Rocky Bryan Ballard
Credential
Provider Entity Type
Individual
Gender
Male
Address
4009 Eufaula Ave, Muskogee, OK, 74401-3112
Phone Number
191-868-2284
Fax Number
Provider Enumeration Date
10/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4009 Eufaula Ave
City
Muskogee
State
Oklahoma
Zip
74403-1132
Phone Number
191-868-2284
Fax Number
person
Provider Business Mailing Address Details
Address
4009 Eufaula Ave
City
Muskogee
State
Oklahoma
Zip
74403-1132
Phone Number
191-868-2284
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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