Individual
SKYLAR MARIE BALLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
550 W SUNNYSIDE RD STE 1, IDAHO FALLS, ID 83402-4642
(208) 529-5777
Mailing address
550 W SUNNYSIDE RD STE 1, IDAHO FALLS, ID 83402-4642
(208) 529-5777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-9002
ID
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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