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Kelli Ballard
Mental Health Counselor in Tahlequah, Oklahoma
NPI 1508167578

Kelli Ballard is a Mental Health Counselor based in Muskogee, OK and is specialized in Mental Health. Kelli Ballard practices in Tahlequah, OK. The NPI Number for Kelli Ballard is 1508167578 and holds a License No. (Oklahoma).

The current practice location address for Kelli Ballard is 19600 E Ross St, Tahlequah, OK and can be reached out via phone at 539-234-1000.

Location: 19600 E Ross St, Tahlequah, OK, 74401-4431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508167578
Provider Name
Kelli Ballard
Credential
Provider Entity Type
Individual
Gender
Female
Address
19600 E Ross St, Tahlequah, OK, 74401-4431
Phone Number
539-234-1000
Fax Number
Provider Enumeration Date
11/08/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100734050 05 OK
institution
Provider Business Practice Location Address Details
Address
19600 E Ross St
City
Tahlequah
State
Oklahoma
Zip
74464-0545
Phone Number
539-234-1000
Fax Number
person
Provider Business Mailing Address Details
Address
19600 E Ross St
City
Tahlequah
State
Oklahoma
Zip
74464-0545
Phone Number
539-234-1000
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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