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Shelley Melissa Balla-Hawkins, LMFT

Counselor, Mental Health in Davis, CA. Individual provider (NPI-1).

NPI number1609595271
StatusActive
Last updated in NPPESAug 25, 2022

Details

NPI
1609595271
Entity type
Individual (NPI-1)
Name
Shelley Melissa Balla-Hawkins
Credential
LMFT
Sex
Female
Sole proprietor
No
Enumeration date
Aug 25, 2022
Certification date
Aug 19, 2022
Last updated
Aug 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health53570CAYes

Practice location

930 Orchard Road
Davis, CA 95616

Phone 916-754-3621

Mailing address

7610 San Nita Way
Fair Oaks, CA 95628-5514

Phone 916-947-0026

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