Individual
MRS. LAURA ANN BALLIET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
230 S COURT ST, SUITE 5, MEDINA, OH 44256-2275
(330) 723-7977
Mailing address
622 DOMINIC DR, CUYAHOGA FALLS, OH 44223-3800
(330) 928-8519
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CO501211
OH
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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