Individual
DR. THOM DANIEL BALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
901 EAST 16TH STREET, ARBUCKLE LIFE SOLUTIONS, ADA, OK 74820
(580) 226-1656
Mailing address
901 EAST 16TH STREET, ARBUCKLE LIFE SOLUTIONS, ADA, OK 74820
(580) 559-5839
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1028
OK
101YP2500X
Professional Counselor
1028
OK
106H00000X
Marriage & Family Therapist
Primary
699
OK
Other
Enumeration date
01/03/2007
Last updated
07/13/2011
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