# STEPHANIE VANESS BALLEW

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1447429105
- **Gender:** F
- **Credential:** CAAC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | C00729 | MI | Yes |
| 104100000X | Social Worker | 33002992A | IN | — |
| 106H00000X | Marriage & Family Therapist | 35001221A | IN | — |

## Other

- **Enumeration date:** 02/27/2008
- **Last updated:** 02/27/2008