Individual
BARBARA SUE BALLIETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2319 FOOTHILL DR, SUITE 275C, SALT LAKE CITY, UT 84109-1489
(801) 467-1496
(801) 467-1496
Mailing address
2319 FOOTHILL DR, SUITE 275C, SALT LAKE CITY, UT 84109-1489
(801) 467-1496
(801) 467-1496
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5075697-6004
UT
Other
Enumeration date
03/21/2006
Last updated
02/05/2010
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