Individual
KIM RYNEE BALLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1129 STONE CRST, DESLOGE, MO 63628-1546
(573) 430-9205
Mailing address
1129 STONE CRST, DESLOGE, MO 63628-1546
(573) 430-9205
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2002032303
MO
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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