Individual
LORRI BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
19 PEACOCK ALY, SANTA FE, NM 87507-8601
(505) 927-9078
Mailing address
19 PEACOCK ALY, SANTA FE, NM 87507-8601
(505) 927-9078
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0188661
NM
Other
Enumeration date
09/30/2015
Last updated
04/16/2017
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