Individual
DAVID BALLENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
3434 BELFORD RD, HOLLY, MI 48442-9503
(248) 459-1049
Mailing address
3434 BELFORD RD, HOLLY, MI 48442-9503
(248) 459-1049
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
L667900
MI
Other
Enumeration date
09/10/2015
Last updated
10/06/2015
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