Individual
KAY R BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
2212 NW 50TH ST, SUITE 172, OKLAHOMA CITY, OK 73112-8086
(405) 640-8121
Mailing address
PO BOX 12883, OKLAHOMA CITY, OK 73157-2883
(405) 858-0600
(405) 858-0602
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
569
OK
106H00000X
Marriage & Family Therapist
1010
OK
Other
Enumeration date
06/13/2006
Last updated
01/30/2009
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