Individual
DAVID BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LAC, NCC
Contact information
Practice address
18789 N REEMS RD STE 260, SURPRISE, AZ 85374-8648
(480) 694-5707
Mailing address
PO BOX 21275, WICKENBURG, AZ 85358-6275
(480) 694-5707
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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