Individual
MRS. KHRYSTIN BALLENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
380 SUWANNEE TRAIL ST, BOWLING GREEN, KY 42103-7956
(270) 901-5000
(270) 842-5268
Mailing address
380 SUWANNEE TRAIL ST, BOWLING GREEN, KY 42103-7956
(270) 901-5000
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
164357
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100372860
—
KY
Enumeration date
01/23/2012
Last updated
12/12/2017
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