Dr. Kenneth Bernard Ballard, LCPC
Counselor, Professional in Temple Hills, MD. Individual provider (NPI-1).
NPI number1891069001
StatusActive
Last updated in NPPESMar 6, 2012
Details
- NPI
- 1891069001
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kenneth Bernard Ballard
- Credential
- LCPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 6, 2012
- Last updated
- Mar 6, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LC2142 | MD | Yes |
Practice location
5410 Temple Hill RdTemple Hills, MD 20748-3506
Phone 202-841-7080
Mailing address
5410 Temple Hill RdTemple Hills, MD 20748-3506
Phone 202-841-7080
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