Individual
NICOLE BALLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LSW
Contact information
Practice address
814 SUNSEEKER DR, CHAPIN, SC 29036-6143
(479) 401-0844
Mailing address
814 SUNSEEKER DR, CHAPIN, SC 29036-6143
(479) 401-0844
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
PLSW5511
AR
Other
Enumeration date
12/16/2021
Last updated
01/04/2023
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