Individual
MS. KIMBERLY BALLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
7434 E STETSON DR, SUITE 160, SCOTTSDALE, AZ 85251-3525
(480) 994-8477
(480) 994-8083
Mailing address
2017 N 7TH ST, PHOENIX, AZ 85006-2102
(602) 452-4684
(602) 358-0399
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMFT10021
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMFT10021
THERAPIST
AZ
Enumeration date
11/07/2006
Last updated
07/08/2007
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