Individual
MARK CHARLES BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
7317 PORTAGE ST NW, MASSILLON, OH 44646-7827
(330) 966-1620
(330) 966-9348
Mailing address
PO BOX 765, WOOSTER, OH 44691-0765
(330) 345-7949
(330) 345-4218
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0500040
OH
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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