Individual
DENNIS L BALLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
155 INVERNESS DR W, SUITE 200, ENGLEWOOD, CO 80112-5095
(303) 779-9676
(303) 889-4800
Mailing address
155 INVERNESS DR W, SUITE 200, ENGLEWOOD, CO 80112-5095
(303) 779-9676
(303) 889-4800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACC 0020817
CO
106H00000X
Marriage & Family Therapist
Primary
MFT0001105
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05056
—
WA
01
—
9002BA
REGENCE
—
Enumeration date
10/09/2007
Last updated
04/24/2014
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