Individual
BALLAH G. PEWEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHP
Contact information
Practice address
14235 WINNERS CIR APT H114, ODESSA, TX 79763-2001
(432) 599-7506
Mailing address
1185 AMERICANA BLVD APT 1207, ZACHARY, LA 70791-7856
(432) 599-7506
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
07/31/2023
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