Individual
SHLANDA BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 MAIN ST, COLUMBUS, MS 39701-4751
(662) 327-7916
Mailing address
302 N JACKSON ST, STARKVILLE, MS 39759-2504
(662) 323-9318
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-0188
MS
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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