Angela Susan Ballard, LMFT 120205, PCCI
NPI #1013431899 in San Carlos, California
Provider Information
- NPI Number
- 1013431899
- Entity Type
- Individual
- Name
- Angela Susan Ballard, LMFT 120205, PCCI
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- LMFT 120205, PCCI
- Enumeration Date
- Aug 2, 2017
- Last Updated
- Jul 28, 2020
Practice Location
- Address
- 1033 LAUREL ST
- City
- San Carlos
- State
- California
- ZIP Code
- 94070-3918
- Phone
- (650) 785-2562
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Psychologist - Clinical — Clinical |
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