Individual
ANGELA BALLANTYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 E 4TH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661-3717
(360) 397-8246
Mailing address
2809 NE 97TH WAY, VANCOUVER, WA 98665-5710
(503) 602-2461
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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