Individual
MRS. AMBER NICOLE BALADEZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
823 N VILLA AVE, OKLAHOMA CITY, OK 73107-6439
(405) 772-9337
(000) 000-0000
Mailing address
823 N VILLA AVE, OKLAHOMA CITY, OK 73107-6439
(405) 772-9337
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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