Individual
DIANA BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 S QUENTIN RD, PALATINE, IL 60067-6778
(847) 485-3064
Mailing address
721 S QUENTIN RD, PALATINE, IL 60067-6778
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.010821
IL
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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