Individual
ELLAINE M BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMHC, NCC
Contact information
Practice address
1300 WOODLAND AVE, WEST DES MOINES, IA 50265-2306
(515) 309-2832
Mailing address
1300 WOODLAND AVE, WEST DES MOINES, IA 50265-2306
(515) 309-2832
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
096571
IA
Other
Enumeration date
10/11/2019
Last updated
07/09/2024
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