Individual
CECILIA T. BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
109 LA BRANCHE AVE, OCEAN SPRINGS, MS 39564-5309
(601) 951-3801
Mailing address
109 LA BRANCHE AVE, OCEAN SPRINGS, MS 39564-5309
(601) 951-3801
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1651
MS
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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