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Individual

MRS. CYNTHIA G RANK BALLAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA LPC

Contact information

Practice address
615 E LINCOLN ST, LAS VEGAS, NM 87701-4502
(505) 426-8095
(505) 426-8095
Mailing address
615 E LINCOLN ST, LAS VEGAS, NM 87701-4502
(505) 426-8095
(505) 426-8095

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0093571
NM

Other

Enumeration date
04/17/2007
Last updated
07/08/2007
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