Individual
MRS. JENNIE BALLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
75 EAGLES NOTCH DR, ENGLEWOOD, NJ 07631-5061
(201) 745-7368
Mailing address
75 EAGLES NOTCH DR, ENGLEWOOD, NJ 07631-5061
(201) 745-7368
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37PC00473800
NJ
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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