person
Charles W Ballard II
Peer Specialist in Oklahoma City, Oklahoma
NPI 1205309861

Charles W Ballard II is a Peer Specialist based in Oklahoma City, OK. Charles W Ballard II practices in Oklahoma City, OK. The NPI Number for Charles W Ballard II is 1205309861 and holds a License No. (Oklahoma).

The current practice location address for Charles W Ballard II is 8500 Nw 112Th Ter, Oklahoma City, OK and can be reached out via phone at 316-390-9673.

Location: 8500 Nw 112Th Ter, Oklahoma City, OK, 73162-2131
person
Provider Profile Details
NPI Number
1205309861
Provider Name
Charles W Ballard II
Credential
Provider Entity Type
Individual
Gender
Male
Address
8500 Nw 112Th Ter, Oklahoma City, OK, 73162-2131
Phone Number
316-390-9673
Fax Number
Provider Enumeration Date
01/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8500 Nw 112Th Ter
City
State
Zip
73162-2131
Phone Number
316-390-9673
Fax Number
person
Provider Business Mailing Address Details
Address
8500 Nw 112Th Ter
City
State
Zip
73162-2131
Phone Number
316-390-9673
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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