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Individual

NACOLE BALLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAPC, NCC, CTP

Contact information

Practice address
10393 FORD AVE BLDG C2ND, RICHMOND HILL, GA 31324-8811
(770) 733-0635
Mailing address
138 CANAL ST STE 303, POOLER, GA 31322-4046
(912) 433-7829

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC010238
GA

Other

Enumeration date
03/10/2025
Last updated
03/10/2025
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