Individual
CAITLIN BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 E MAIN STREET, OTHELLO, WA 99344-1146
(509) 488-4074
Mailing address
1213 W FRANKLIN STREET APT B, MOSES LAKE, WA 98837-1342
(509) 331-2013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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