Beau Ballard

NPI #1033666128 in Riverdale, Utah

Provider Information

NPI Number: 1033666128
Entity Type: Individual
Name: Beau Ballard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Sep 6, 2016
Last Updated: Sep 6, 2016

Practice Location

Address: 5202 FREEWAY PARK DR
City: Riverdale
State: Utah
ZIP Code: 84405-4016
Phone: (801) 255-5131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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