Individual
WHITEDOVE BALLOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LISAC
Contact information
Practice address
3200 N HAYDEN RD STE 105, SCOTTSDALE, AZ 85251-6652
(623) 266-7130
(480) 659-7230
Mailing address
3200 N HAYDEN RD STE 105, SCOTTSDALE, AZ 85251-6652
(623) 266-7130
(480) 659-7230
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC 11467
AZ
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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