Individual
MR. EDWARD GEORGE BALLANCE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MACP, MAC, LLPC
Contact information
Practice address
4467 CASCADE RD SE STE 4469, GRAND RAPIDS, MI 49546-3776
(616) 648-3943
Mailing address
4467 CASCADE RD SE STE 4469, GRAND RAPIDS, MI 49546-3776
(616) 648-3943
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401015086
MI
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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