Raisa Ballesteros, ASW

NPI #1033528179 in Fairfield, California

Provider Information

NPI Number: 1033528179
Entity Type: Individual
Name: Raisa Ballesteros, ASW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: ASW
Enumeration Date: Aug 2, 2014
Last Updated: Aug 3, 2016

Practice Location

Address: 2195 UNION AVE
City: Fairfield
State: California
ZIP Code: 94533-3240
Phone: (707) 422-0464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Counselor - Mental Health — Mental Health	101YM0800X

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