Nicole D Ballou

NPI # 

Practice Address:

109 N Fairland St

Pryor, OK, 74361-4205

Practice Phone:

918-825-1405

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Counselor

Taxonomy Code:

101Y00000X

Deactivation Date:

2023-03-22T00:00:00.000Z

Deactivation Code:

None

Reactivation Date:

2023-10-20T00:00:00.000Z

Updated by NPPES on 6/6/2025. You can view the original data set for NPI # 1427700434 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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Nicole D Ballou 's

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Nicole D Ballou 's

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