Individual
MRS. JUNE ROSEANN BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7299 E 620 RD, PEGGS, OK 74452-2087
(918) 208-8607
Mailing address
7299 E 620 RD, PEGGS, OK 74452-2087
(918) 208-8607
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
02/21/2014
Last updated
09/13/2022
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