Individual
LAURA JAY-BALLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
207 W MAIN ST, PLAINFIELD, IN 46168-1117
(317) 207-1732
Mailing address
207 W MAIN ST, PLAINFIELD, IN 46168-1117
(317) 207-1732
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002303A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39002303A
LICENSE
IN
Enumeration date
11/22/2011
Last updated
07/21/2021
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