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Individual

RITA M BALLINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC

Contact information

Practice address
109 W 2ND ST, TAHLEQUAH, OK 74464-4723
(918) 431-0418
Mailing address
2512 GIBSON ST, MUSKOGEE, OK 74403-2711
(918) 441-9110

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
281
OK

Other

Enumeration date
06/18/2007
Last updated
08/02/2013
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