Individual
CARL BALLENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 23RD AVE S, SEATTLE, WA 98144-2302
(206) 328-5696
Mailing address
100 23RD AVE S, SEATTLE, WA 98144-2302
(206) 328-5696
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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