Individual
ALYSSA RENEE BALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 FRESNO ST, FRESNO, CA 93721-1439
(559) 392-3371
Mailing address
1588 DOUGLAS AVE, CLOVIS, CA 93611-3124
(559) 392-3371
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
140086
CA
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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