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Individual
DENNIS L BALLINGER
Active
Individual
DENNIS L BALLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACC 0020817
CO
106H00000X
Marriage & Family Therapist
Primary
MFT0001105
CO
Other
Enumeration date
10/09/2007
Last updated
04/24/2014
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