person
Bruce Allen Ballou, BS
Addiction (Substance Use Disorder) Counselor in Lawton, Oklahoma
NPI 1982831186

Bruce Allen Ballou is an Addiction (Substance Use Disorder) Counselor based in Lawton, OK and is specialized in Addiction (Substance Use Disorder). Bruce Allen Ballou practices in Lawton, OK and has the professional credentials of BS. The NPI Number for Bruce Allen Ballou is 1982831186 and holds a License No. (Oklahoma).

The current practice location address for Bruce Allen Ballou is 1202 Sw A Ave, Lawton, OK and can be reached out via phone at 580-357-8114 and via fax at 580-357-0079.

Location: 1202 Sw A Ave, Lawton, OK, 73501-3821
person
Provider Profile Details
NPI Number
1982831186
Provider Name
Bruce Allen Ballou
Credential
BS
Provider Entity Type
Individual
Gender
Male
Address
1202 Sw A Ave, Lawton, OK, 73501-3821
Phone Number
580-357-8114
Fax Number
580-357-0079
Provider Enumeration Date
06/15/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1202 Sw A Ave
City
State
Zip
73501-3821
Phone Number
580-357-8114
Fax Number
580-357-0079
person
Provider Business Mailing Address Details
Address
1202 Sw A Ave
City
State
Zip
73501-3821
Phone Number
580-357-8114
Fax Number
580-357-0079
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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