Craig Balletta
NPI #1063732345 in Mount Shasta, California
Provider Information
- NPI Number
- 1063732345
- Entity Type
- Individual
- Name
- Craig Balletta
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jun 9, 2010
- Last Updated
- Jun 9, 2010
Practice Location
- Address
- 1107 REAM AVE
- City
- Mount Shasta
- State
- California
- ZIP Code
- 96067-9768
- Phone
- (530) 926-1436
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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