Kathy Ballard Behavioral Health Services LLC

NPI #1700119989 in Newberry, Michigan

Provider Information

NPI Number: 1700119989
Entity Type: Organization
Organization Name: Kathy Ballard Behavioral Health Services LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Sep 6, 2009
Last Updated: Oct 29, 2009

Practice Location

Address: 405 NEWBERRY AVENUE
City: Newberry
State: Michigan
ZIP Code: 49868
Phone: (906) 293-1982

Authorized Official

Name: KATHY R BALLARD, ACSW LLC
Title: SOLE PROPRIETOR
Phone: (906) 293-1982

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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