Individual
DR. ALEX BALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, ED.D.
Contact information
Practice address
13337 SOUTH STREET STE 16, CERRITOS, CA 90703-7308
(562) 384-4080
Mailing address
13337 SOUTH ST STE 16, CERRITOS, CA 90703-7308
(562) 384-4080
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS23768
CA
Other
Enumeration date
07/02/2015
Last updated
06/05/2020
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