Individual
STACEY BALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
190 W. MAIN ST., KUNA, ID 83634
(702) 582-2130
Mailing address
PO BOX 203, KUNA, ID 83634-0203
(702) 582-2130
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
40516
ID
104100000X
Social Worker
—
ID
Other
Enumeration date
11/19/2013
Last updated
01/02/2026
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