Individual
MRS. DANIELLE KATRINA WACHTEL BALLARD-GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CADC
Contact information
Practice address
3116 CARPENTER AVE, DES MOINES, IA 50311-2860
(515) 298-2020
Mailing address
3116 CARPENTER AVE, DES MOINES, IA 50311-2860
(515) 298-2020
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12112
IA
1041C0700X
Clinical Social Worker
Primary
086759
IA
Other
Enumeration date
05/31/2017
Last updated
04/03/2020
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