Organization
BALLAN COUNSELING A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Active
Other names
Ballan Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX BALLAN LCSW (CEO)
(562) 384-4080
Entity
Organization
Contact information
Practice address
11911 186TH ST, ARTESIA, CA 90701
(562) 384-4080
Mailing address
13337 SOUTH ST STE 16, CERRITOS, CA 90703-7308
(562) 384-4080
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6344442
—
CA
Enumeration date
04/02/2021
Last updated
04/02/2021
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