Individual
WHITNEY CAROL BALLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 MADISON AVE STE 602, MEMPHIS, TN 38103-2770
(901) 302-9575
Mailing address
3785 CARDINAL AVE, MEMPHIS, TN 38111-6901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4478
TN
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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