Bruce Allen Ballou, BS is an addiction (substance use disorder) counselor in Lawton, OK. Bruce Allen Ballou, BS NPI is 1982831186. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1202 SW A AVE
LAWTON, OK
ZIP 73501-821
Phone: (580) 357-8114
Fax: (580) 357-0079
The enumeration date for this NPI number is 6/15/2009 and was last updated on 6/15/2009.