Individual
ANNA BALLIET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4622A HOLLYWOOD BLVD, LOS ANGELES, CA 90027-5408
(657) 206-8569
Mailing address
4622A HOLLYWOOD BLVD, LOS ANGELES, CA 90027-5408
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
147083
CA
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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