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Rita M Ballinger, CAdc

Counselor, Addiction (Substance Use Disorder) in Tahlequah, OK. Individual provider (NPI-1).

NPI number1497950752
StatusActive
Last updated in NPPESAug 2, 2013

Details

NPI
1497950752
Entity type
Individual (NPI-1)
Name
Rita M Ballinger
Credential
CAdc
Sex
Female
Sole proprietor
No
Enumeration date
Jun 18, 2007
Last updated
Aug 2, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)281OKYes

Practice location

109 W 2nd St
Tahlequah, OK 74464-4723

Phone 918-431-0418

Mailing address

2512 Gibson St
Muskogee, OK 74403-2711

Phone 918-441-9110

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