Individual
MISHALE ANN REDE BALLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APCC, LPCC
Contact information
Practice address
405 JACKSON DR, SANTA ROSA, CA 95409-4209
(805) 610-3200
Mailing address
4690 GRAVENSTEIN HWY N, SEBASTOPOL, CA 95472-2242
(805) 610-3200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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