Individual
LEE SUZANNE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TCADC
Contact information
Practice address
607 CLIFTY ST, SOMERSET, KY 42503-1765
(800) 805-6989
Mailing address
199 TWIN RIVERS DR, BRONSTON, KY 42518-9605
(606) 416-0247
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
278725
KY
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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