Stephen Richard Ball
Counselor in Santa Monica, CA. Individual provider (NPI-1).
NPI number1366083396
StatusActive
Last updated in NPPESOct 29, 2019
Details
- NPI
- 1366083396
- Entity type
- Individual (NPI-1)
- Name
- Stephen Richard Ball
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 1, 2019
- Last updated
- Oct 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Practice location
909 Pico BlvdSanta Monica, CA 90405-1326
Phone 310-314-6200 · Fax 310-450-2024
Mailing address
2644 30th St Ste 100Santa Monica, CA 90405-3051
Phone 310-314-6200 · Fax 310-450-2024
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