Individual
MS. EMILY MASON BALLANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4932 WINDY HILL DR, RALEIGH, NC 27609-5197
(919) 878-1685
Mailing address
4932 WINDY HILL DR, RALEIGH, NC 27609-5197
(919) 878-1685
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4796
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4796
NORTH CAROLINA BOARD OF LICENSED PROFESSIONAL COUNSELORS
NC
Enumeration date
06/15/2010
Last updated
06/15/2010
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