Nicole D Ballou is a Counselor based in Pryor, OK. Nicole D Ballou practices in Wagoner, OK. The NPI Number for Nicole D Ballou is 1427700434 and holds a License No. (Oklahoma).
The current practice location address for Nicole D Ballou is 109 S Harrill Ave, Wagoner, OK and can be reached out via phone at 918-485-0242.
Location: 109 S Harrill Ave, Wagoner, OK, 74361-3231
Provider Profile Details
NPI Number
1427700434
Provider Name
Nicole D Ballou
Credential
Provider Entity Type
Individual
Gender
Female
Address
109 S Harrill Ave, Wagoner, OK, 74361-3231
Phone Number
918-485-0242
Fax Number
Provider Enumeration Date
01/20/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
109 S Harrill Ave
City
State
Zip
74467-5317
Phone Number
918-485-0242
Fax Number
Provider Business Mailing Address Details
Address
109 S Harrill Ave
City
State
Zip
74467-5317
Phone Number
918-485-0242
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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