Individual
MRS. BRENDA DARLENE BALLANTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
4343 WILLIAMSBURG DR., SACRAMENTO, CA 95823
(916) 473-5766
Mailing address
628 REEDS AVE, RED BLUFF, CA 96080-4273
(530) 200-1452
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CA
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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